{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:14:24Z","timestamp":1785521664376,"version":"3.56.0"},"reference-count":0,"publisher":"ALUNA","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiadomo\u015bci Lekarskie"],"abstract":"<jats:p>Aim: To analyze the development and implementation of the new framework for assessing the functional status of disability in Ukraine, and to evaluate the\nresults of the first year of the new system\u2019s operation.\nMaterials and Methods: Sociological method was used. The Ministry of Health has published an analytical report on the results of the first year of work by\nthe expert teams assessing a person\u2019s daily functioning from January 1, 2025. Before the reform, the system was based on 328 commissions and 1267 doctors.\nIn contrast, after the reform, more than 7000 physicians were involved in all regions of Ukraine. More than 1,300 expert teams have been formed, making more\nthan 554000 decisions in a yearStatistical analysis included descriptive statistics of indicators. Statistical processing and graphical visualisation of the data were\nperformed using Microsoft Excel (Microsoft Excel for Microsoft 365 MSO, version 2603, build 16.0.19822.20086, 64-bit).\nResults: A new system focused on assessing functioning has been introduced into clinical practice. A comprehensive legal framework was developed, and\nthe Center for Assessment of the Functional State of a Person was established in 2025. The system includes over 1300 expert teams and approximately 7000\ndoctors, operates nationwide, and is highly digitized via the Diia platform. Initial results show increased transparency, accessibility, and user satisfaction.\nConclusions: The reform aligns with international standards and represents a systemic step toward rights-based disability assessment. However, further\nimprovements are needed in regulatory support, institutional capacity, digital infrastructure, and consistent law enforcement.<\/jats:p>","DOI":"10.36740\/wlek\/222589","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:04:17Z","timestamp":1785517457000},"page":"1209-1215","source":"Crossref","is-referenced-by-count":0,"title":["Rethinking disability assessment: Shift to a functioning-based model"],"prefix":"10.36740","author":[{"given":"Denys V.","family":"Varyvonchyk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inna Y.","family":"Khanyukova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olena M.","family":"Moroz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleksandr V.","family":"Dovzhenko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nataliia A.","family":"Sanina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kateryna D.","family":"Kopach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22436","published-online":{"date-parts":[[2026,6,30]]},"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"link":[{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-222589-142977","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-222589-142977","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:04:20Z","timestamp":1785517460000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/Rethinking-disability-assessment-Shift-to-a-functioning-based-model,222589,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"alternative-id":["222589"],"URL":"https:\/\/doi.org\/10.36740\/wlek\/222589","relation":{},"ISSN":["0043-5147","2719-342X"],"issn-type":[{"value":"0043-5147","type":"print"},{"value":"2719-342X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]}}}