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The medico social approach in assessing disability of children with asthma


Author: Chiper Natalia
Degree:doctor of medicine
Speciality: 14.00.09 - Pediatrics
Year:2018
Scientific adviser: Petru Stratulat (decedat)
doctor habilitat, professor, Public Medical Sanitary Intitution Scientific Research Institute of Mother and Child Health Care
Scientific consultant: Larisa Spinei
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Institution: Public Medical Sanitary Intitution Scientific Research Institute of Mother and Child Health Care

Status

The thesis was presented on the 17 October, 2017
Approved by NCAA on the 11 May, 2018

Abstract

Adobe PDF document – 16.00 Mb / in romanian

Thesis

CZU 616.231.24-036.12-036.865-053.2

Adobe PDF document 3.54 Mb / in romanian
154 pages

Keywords

disability, asthma, child, activity, participation, environmental factors

Summary

Research field:pediatrics, allergology. Purpose: Develop practical tools for assessing disability of children with asthma through the prism of International Classification of Functioning, Disability and Health in the Republic of Moldova.

Research’s objectives: The analysis of indices of disability of children with asthma in Moldova (aa. 2009-2015); Evaluation of health and functioning’ s indicators in children with and without asthma degree of disability according to the National Clinical Protocol; Determination of criteria activity, participation and environmental factors, according to the International Classification of Functioning, Disability and Health for children with asthma; Analysis of the results of medical interview by Delphi on the International Classification of Functioning, Disability and Health, for defining criteria for assessment of disability caused by asthma; Elaboration of practical tools for assessing disability in children with asthma through the prism of International Classification of Functioning, Disability and Health in Republic of Moldova.

Scientific novelty and originality. For the first time in he Republic of Moldova were conducted scientific researches oriented towards objectification process for determining disability of children with asthma by developing practical tools derived from ICF.

The scientific problem solved in the thesis. The study results allowed the development of practical tools for the objectification of the evaluation process of health, functioning and disability of children with asthma and of monitoring of case management.

The theoretical significance. The study made significant contributions to the development of a new concept determining disability based on its social medical model. New criteria have been proposed (derived from ICF) for assessing disability aimed at the child functioning level, activity and participation in daily and social life.

Applicative value of the study. The study made a valuable contribution for implementing the ICF principles, promoted by WHO in medical practice from the Republic of Moldova. Implementation of scientific results.

The results obtainedwere applied in the curative activity of Pediatric Allergy IMSP station BMI.