The relationship between prescribed rehabilitation measures and the subjective assessment of their health by disabled people

The implementation of a set of rehabilitation measures in accordance with the individual rehabilitation and habilitation program (IRHP) is one of the key tasks of medical institutions and social service organizations. The effectiveness of the rehabilitation can be judged both by the results of repeated examinations and by the subjective assessment of the quality of life by the disabled in dynamics. The purpose of the work – сomparison of indicators of subjective assessment of the health of disabled people depending on the duration of disability, prescribed and received rehabilitation measures in accordance with the IHRP. Materials and methods: From January to March 2025, a retrospective analytical descriptive study was conducted. The inclusion group consisted of 324 disabled people and disabled children with socially significant diseases, who had previously taken part in a survey on satisfaction with rehabilitation measures and subjective assessment of their health and quality of life. In the framework of this study, the respondents' information on the group and terms of disability establishment, as well as the assignment of rehabilitation services based on the results of medical and social examination were analyzed by extracting from the AIS "Electronic Social Register of the Population of St. Petersburg". Results and discussion: The analysis revealed a number of indicators influencing the self-assessment of the health of people with disabilities: life expectancy with disability and refusal of preferential drug provision during the development of the IPRA. The hypotheses about the presence of an association between the patient's subjective assessment of their health and the life expectancy with disability, as well as the association between the patient's subjective assessment of their health using the visual analogue scale (EQ-VAS) and consent to receive preferential provision in the form of medications were statistically confirmed. Conclusion: It is necessary to develop organizational and managerial solutions for working with long-term disabled persons in order to prevent deterioration of the patient's condition, focusing on the need to receive and take medications for prevention further unjustified requests, prevent disability and improve the quality of life of persons with disabilities.