The aim: The purpose of this article is to identify through the analysis of biographical and scientific Sofia Okunevska-Morachevska, Sofia Parfanovych and Volodymyra Krushelnytska common features of personal and professional development to understand the scientific, social and cultural parts of their activities in the context of the history of national medical tradition. Materials and methods: We will try to consider in general terms the life and professional path of Sofia Okunevska-Morachevska, Sofia Parfanovych, Volodymyra Krushelnytska, highlighting common features and analyzing them in contexts of social, political, and cultural features of the era. Conclusions: Analyzing the biographical milestones and scientific achievements of women physicians in Western Ukraine in the late XIX – early XX century, we concluded that these personalities of Ukrainian medicine can be combined with a number of characteristics, thus demonstrating the continuity and longevity of the national female medical elite in Ukraine.

Aim: To analyze the reasons of low rehabilitation efficiency of persons with disabilities after musculoskeletal injuries. Materials and Methods: A retrospective study of the 102 people’s records whose permanent disability is extended after next certification was conducted. Results: Only 31.4% persons reduced the severity of disability. The rest remained unchanged (67.6%) or deteriorated (1.0%). Permanent disability after musculoskeletal injuries is typical for men (86.3%), villagers (74.5%), working age (99.0%), of which 37.5% – men under 40 years. Near half persons (45.1%) have passed the next re-examination more than 3 times; in 52.0% ones four or more years have passed after injury; in 9.8% cases the continuation of rehabilitation is considered as hopeless. Defects in the implementation of rehabilitation measures were revealed, namely: excessive use of drugs with insufficient evidence of effectiveness (85.3-88.2%), inadequate coverage of physical therapy and occupational therapy (56.4%), a formal approach to the individual rehabilitation programs (IRP) formation, in particular in the assessment of rehabilitation potential (100.0%), the degree of movement restrictions (20.6%), social and labor rehabilitation (36.3%). Despite the fact that the majority of the observed people (86.3%) were recognized as capable for work, only 63.7% were provided with advice on rational employment, and 78.4% of them do not work. Conclusions: Improving of the rehabilitation effectiveness requires comprehensive integrated solutions at the state level in order to change approaches to assessing the degree of disability, the formation and implementation of IRP based on modern world standards.

The objective of the research was to study the opinion of severely ill patients regarding some aspects of providing palliative care to determine the direction of its improvement. Materials and methods. The sociological survey was performed by interviewing 146 severely ill patients treated in different in-patient health care facilities in Ivano-Frankivsk. The calculation of each factor rates per 100 respondents, the standard error of rates, and Chi-Square Test (χ2) for comparing group differences were used for statistical data analysis. Results. Most respondents (66.4%) have been ill for several years. Throughout the year, every tenth patient (10.6%) was hospitalized more than four times. Only 49.4% of patients were admitted to the hospital with the referral from physicians. Every fifth respondent (20.5%) was delivered to the hospital by an ambulance, others (17.9%) -by self-referral. Fewer than half of respondents confirmed that their opinion was considered when choosing a medical facility (42.0%), physician (41.3%), place for care (31.9%) and methods of treatment (23.9%). The level of deontological and legal needs of incurably ill patients was found to be 2-6 times higher than the degree of their satisfaction. Conclusions. High multiplicity of inpatient cases among palliative patients and the importance of improving the criteria and ways of their hospitalization were determined considering the high proportion of their hospitalization by emergency medical services and self-referral. The necessity of developing the standards of palliative care for patients and their families at the level of primary medical care was shown.