Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertise

The Ukrainian system of medical and social expertise needs to revise its conceptual and methodological foundations in accordance with the realities of the current development of social sciences in the world and demand of the state regarding the modern understanding of disability. The purpose of the...

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Main Author: I.S. Borysova
Format: Article
Language:English
Published: Dnipro State Medical University 2024-06-01
Series:Medičnì Perspektivi
Subjects:
Online Access:https://journals.uran.ua/index.php/2307-0404/article/view/307469
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author I.S. Borysova
author_facet I.S. Borysova
author_sort I.S. Borysova
collection DOAJ
description The Ukrainian system of medical and social expertise needs to revise its conceptual and methodological foundations in accordance with the realities of the current development of social sciences in the world and demand of the state regarding the modern understanding of disability. The purpose of the study was to analyze international experience and legislation on policy towards persons with disabilities and systematic approaches to the criteria of violation of functioning and the possibilities of determining the status of "person with disabilities" using the basic principles of the International Classification of Functioning (ICF), Impairment and Health to create optimal approaches to determining the criteria for disability in Ukraine. The study was based on the analysis of available scientific literature and legislative documents of developed countries on the understanding of the concept of "person with a disability". The scientometric databases used were Scopus, Web of Science, Google Scholar, and MedLine. Data from the official websites of the Political Department of the European Parliament, WHO, the United Nations, UNICEF, the World Bank. Аccording to the results of the study, it is determined that a single state body is responsible for determining the status of a person with a disability in sustainable development countries using a multidisciplinary approach. The author identifies 3 main components that most developed countries assess when determining disability: economic, medical and social. At the same time, the main criterion is decreased performance. It has been established that since 2022, Spain has completely switched to the criteria of the International Classification of Functioning in determining the signs of disability, basing the severity of a person's condition as a degree of disability on a percentage decrease in the person's functioning. Some European countries use selective categories of the ICF.
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spelling doaj-art-0adb8ea93e634666bf637e487d3f9a142025-01-03T01:51:33ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042024-06-01292435510.26641/2307-0404.2024.2.307469345930Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertiseI.S. Borysova0Dnipro State Medical University, Volodymyra Vernadskoho str., 9, Dnipro, 49044The Ukrainian system of medical and social expertise needs to revise its conceptual and methodological foundations in accordance with the realities of the current development of social sciences in the world and demand of the state regarding the modern understanding of disability. The purpose of the study was to analyze international experience and legislation on policy towards persons with disabilities and systematic approaches to the criteria of violation of functioning and the possibilities of determining the status of "person with disabilities" using the basic principles of the International Classification of Functioning (ICF), Impairment and Health to create optimal approaches to determining the criteria for disability in Ukraine. The study was based on the analysis of available scientific literature and legislative documents of developed countries on the understanding of the concept of "person with a disability". The scientometric databases used were Scopus, Web of Science, Google Scholar, and MedLine. Data from the official websites of the Political Department of the European Parliament, WHO, the United Nations, UNICEF, the World Bank. Аccording to the results of the study, it is determined that a single state body is responsible for determining the status of a person with a disability in sustainable development countries using a multidisciplinary approach. The author identifies 3 main components that most developed countries assess when determining disability: economic, medical and social. At the same time, the main criterion is decreased performance. It has been established that since 2022, Spain has completely switched to the criteria of the International Classification of Functioning in determining the signs of disability, basing the severity of a person's condition as a degree of disability on a percentage decrease in the person's functioning. Some European countries use selective categories of the ICF.https://journals.uran.ua/index.php/2307-0404/article/view/307469disabilityimpairmentmedical and social expertiseinternational classification of functioningrecognition of the status of
spellingShingle I.S. Borysova
Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertise
Medičnì Perspektivi
disability
impairment
medical and social expertise
international classification of functioning
recognition of the status of
title Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertise
title_full Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertise
title_fullStr Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertise
title_full_unstemmed Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertise
title_short Analysis of the world experience on the approaches to the definition of disability: on the way to reforming the system of medical and social expertise
title_sort analysis of the world experience on the approaches to the definition of disability on the way to reforming the system of medical and social expertise
topic disability
impairment
medical and social expertise
international classification of functioning
recognition of the status of
url https://journals.uran.ua/index.php/2307-0404/article/view/307469
work_keys_str_mv AT isborysova analysisoftheworldexperienceontheapproachestothedefinitionofdisabilityonthewaytoreformingthesystemofmedicalandsocialexpertise