INTERNATIONAL CLASSIFICATION OF FUNC-TIONING AS A TOOL FOR THE FORMATION OF A REHABILITATION PROGRAM FOR PATIENTS AFTER LAPAROSCOPIC CHOLECYSTOCTOMY

The purpose of the research. To consider ICF as an instrument for forming the goals of physical therapy of patients after laparoscopic cholecystectomy at different stages of rehabilitation and their introduction into surgical practice. According to WHO recommendations, modern rehabilitation intervention should have an interdiscipli-nary and problem-oriented approach. If the multidiscipli-nary approach is gradually introduced into the health care system by introducing such positions as a doctor of physical rehabilitation medicine, physical therapist, occupational therapist, then with the introduction of a problem-oriented approach is still more difficult. There are problems of interdisciplinary interaction of specialists. The patient's wishes and expectations are not always taken into account, and there is no patient-centered approach to rehabilitation. Goal setting is based on the old template above. No individual approach is used. Not all contextual factors of the patient are taken into account to establish the goals of the rehabilitation intervention. Not all health professionals are familiar with the problem-oriented approach in setting rehabilitation goals. There is no objective assessment of the effectiveness of the rehabilitation intervention. As a rule, it is noted that the patient was discharged with improvement. This situation cannot help to improve rehabilitation care, including after laparoscopic cholecystectomy. There is no IСF code in any stationary card. Currently, modern rehabilitation divides the re-habilitation process into several periods, somewhat dif-ferent from the previous post-Soviet classification. These are usually acute, subacute, long periods. The IСF model is patient-oriented and can be used at all stages of rehabilitation. It is easy to track whether the goals have been achieved at each stage of rehabilitation with this approach. The method of qualification by digital equivalent to indicate the magnitude and severity of the violation allows to evaluate in digital equivalent the effectiveness of rehabilitation intervention at each stage in the implementation of an individual rehabilitation program, and in research in the field of rehabilitation. Also, the use of IСF at each stage of rehabilitation intervention allows to set both short-term and long-term goals. The use of an individual approach involves the adjustment of goals taking into account the mid-term evaluation of the effectiveness of the rehabilitation process and this is normal practice. Conclusion: 1. The current practice of organization of reha-bilitation care at different stages (acute, subacute and long-term) in patients after laparoscopic cholecystectomy revealed a complete lack of use of the IСF classification. 2. The joint use of ICD-10 and IСF in surgical practice will complement each other, which will improve the quality of health services. 3. The introduction of coding schemes will facil-itate the work of multidisciplinary teams involved in the rehabilitation of surgical patients. 4. It is necessary to start with the provision of health information systems with automated coding schemes (to reduce the burden on medical staff and facilitate medical records), because in practice such coding takes a lot of time and special training of medical staff.