kamachi kshamata moolyankan

kalyankari laabh davedar kaam kinwa kamashi sambandhit upkram karnyas saksham aahet qee nahee aanee kitee pramanat heey tharvanyasathi british sarkarchya kaam aanee nivruttivetan vibhagadvare (dii. doubleu. pii.) karya kshamata moolyankan (doubleu. see. aii.) vaparale jaate. mulyankanacha nikal heey dekhil tharvato qee davedaranna rojgar aanee samarthan bhatta (eae. ess. aii.) kinwa agadi alikade, sarvatrik patt (yuu. see.) chya atirikt ghatakancha haqq aahe qaa.
moolyankan prakriya.
hii prakriya shevati eka kayadeshir prakriya aahe jee samajik suraksha kayadyacha mukhya sandarbh bindu mhanoon vapar karate (mhanunach nyay mantralayachya dekharekhikhalil nyayadhikarnankade apeal kele jaate). sambhavyatecha samtol' heey puravyache manak aaheh davedarala lakshaniy apangatva asanyachi shakyata jaast asalyas dawa swikarla pahije.
prathamik davyapasun 13 aathvadyannantar, jevha dii. doubleu. pii. neey manyata dilela aarogyaseva vyavsayik davyachya prapatrachi chhanani karato aanee davadarachya jee. pii. kadoon kinwa itar yogya strotakadun adhik purava magayacha qee nahee heey tharvato, tevha mukhya moolyankan prakriya shakya titkya lavkar suru hote. julai 2022 pasoon paricharika, vyavsayik chikitsak, pharmacist aanee physiotherapist tasech doctor ingland, scotland aanee velsmadhye yogya nota kayadeshiraritya pramanit karoo shakatat.
jarr puravyanvarun asey disun aale qee, santulan sadhatana, chachanichya kayadeshiraritya paribhashit nikashannusar, davedarakadun kaam karanyachi kinwa kamachi tayari karanyachi vajvi apeksha kelee jaau shakat nahee, tarr samorasamor moolyankan aavashyak nasave, davedarala samarthan gatasathi shifaras kelee pahije aanee samanyatah eae. ess. aii. chaa uchch darr manjur keela jaato. anyatha, aarogyaseva vyavsayik samorasamor mulyankanachi vyavastha karatat-sahasa pariksha kendrat, parantu adhunmadhun davedaranchya gharee. 2015 pasoon, us outsourcing firm maximusdware chachani kelee jaat aahe. dii. doubleu. pii. pratyek ahavalasathi jastit jaast £200 dete.
samorasamorchya mulyankananmadhye, mulyankankarte-jeey paricharika, doctor kinwa physiotherapist aahet-tyanna sanganak karyakramadvare margadarshan aanee prerit kele jaate, jeey aii. tii. oo. ess. neey dii. doubleu. pii. chya sanyogane tayar kele aahe, jyala 'logic-integrated medical assessment' kinwa 'lima' mhanatat. mothya pramanat jivanshailichi mahitee aanee kahee vaidyakeey mahitee davedarakadun prapt kelee jaate aanee mulyankankartyadvare sangankat pravisht kelee jaate, mukhytah aun-screen menumadhun purvanirdharit 'vann click' paryay nivadoon. moolyankan jasjase pudhe jaate, tasatase lima tyaa vyaktichya dainandin jivanavar aanee kamachya drushtine tyaa vyaktichya tandurustivar jivanavar apangatvacha parinam yaa donhincha andaj ghenyacha prayatna karate-parantu lima mulyankankartyala paryay suchavat asatana, shevati shifarasi karnyasathi jababdar aarogyaseva vyavsayik asato. aarogyaseva vyavsayik tyanchya karkirdichya suruvatila vaidyakeey vatavaranat kaam kelyane midavalelya vaidyakeey dnyanacha vapar karoon pudhil goshti karatatah
davyachi takad mukhyatve davadarachya samasyechi tulana 'discriptor' mhanoon olakhalya olakhalya nirdharit nikashanchya chaukatishi karoon nirdharit kelee jaate, jeey 'karyatmak' aanee 'gair-karyatmak' discriptormadhye vibhagale gele aahet. aarogyaseva vyavsayikanchi mukhya bhoomika mhanje eae. ess. aii. dawa formwar chhapalelya pratyek kriyakalapasathi sarvat yogya varnankarta nivadane, jeey davedarane tyanchya dainandin jeevanat tyanchyasathi katheen asalyache chinhankit kele aahe. heey karnyasathi, mulyankankarte 'karyatmak moolyankan' yaa kshetratil tyanchya prashikshanavar bharr detat-ekhadya vyaktichya dainandin jivanavar jivanavar vikrutichya vyavharik parinamache mojmap karnyashi sambandhit eka up-visheshata aanee doubleu. see. aii. chya sandarbhat, tyanchya kaam karnyachya kshamatevar. vaidyakeey itihas ghenyabarobarach aanee davedarancha 'vishisht divas' shodhanyabarobarach, aarogyaseva vyavsayik davedaranchi shravanshakti, gatishilata aanee mudra ityadinchi samanya nirikshane karel. aanee eka chhoti sharirik tapasani asoo shakate. mulakhat jasjashi pudhe jaeel tastashi davedarachi mansik sthitee mothya pramanat spasht hoil, parantu konatahi avyavasthit vichar, aakalanshaktichi vikrutee kinwa sandnyanatmak durbalata spasht karnyasathi vishisht prashna vicharale jaau shakatat. vishisht prakarananmadhye chachaniche nikash kase lagoo karave yabaddal mulyankankartyanna khatri naslyas, durdhvani sallah upalabdh aahe. samorasamorchya mulyankanadarmyan, jarr gambhir karyatmak apangatvachya aadharavar davedar samarthan gatasathi patra aahe heey spasht jhaale tarr mulakhat lavkar sampavali jaavi aanee nishkarsh davadarachya filewar dii. doubleu. pii. nirnaykartyala shifaras mhanoon eka sankshipt nond mhanoon nondavala jaava. 
karyatmak varnan karnare.
pratyek karyatmak varnankarta 6,9 kinwa 15 gunanchya gunansah yeto jyacha uddesh apangatvachi sapeksh tivrata pratibimbit karane haah asato. ekoon 15 guna kinwa tyahoon adhik guna arjdarala eae. ess. aii. sathee patra thartil. jarr aarogyaseva vyavasayikala asey vatat asel qee konatehi karyatmak varnankarta lagoo hott naheet, tarr ekoon guna shoonya asateel.
varnankartyanche 17 upkramanmadhye vargikaran kele aahe. udaharanarth, 'hastalikhit nipunata'-hatache karya-mulyankankartyala nivadanyasathi khaleel varnakansah yeteh
pratyek kriyakalapasathi keval ekach varnak nivadala jaau shakato aanee too sarvoch guna midavanara paryay asava joou ajunahi karya nasht honyache achook varnan karato. ekhadi vyakti jee nanyasarkhi chhoti vastoo "uchaloo" shakate parantu sadhee chinhe karnyasathi paine vaparu shakat nahee, tee tyaa krutisathi 9 guna midvel.
jarr ekhada davedar 'ekhadi vishisht krutee karnyas saksham' asel parantu vishvasarhpane, varanvar, velevar, surakshitpane aanee lakshaniy vedna naan karata teey karoo shakat nasel, tarr tyanna tee krutee karnyas 'asamarth' manale pahije.
bhautik karyatmak varnankartyanmadhye yaa kriyakalapancha samavesh aaheh
mansik karyatmak varnak samavisht karatatah
eka upkramatil 'sarvoch guna' sahasa davedarala samarthan gatasathi patra tharvel.
gair-karyatmak varnak.
gair-karyatmak varnakanna konatehi guna jodalele nasatat parantu tyaeivaji eka sadhe 'hoy' kinwa 'nahee' uttar asateh
yethe vicharat ghetale jaau shakanare itar ghatak khalilpramane aaheth
naun-functional discriptor prashnache 'hoy' uttar sahasa davedarala samarthan gatatil asalyasarkhe vagavale jaeel.
parinam.
mulakhat aanee konatyahi tapasaninantar nishkarshancha saransh pramanit ingraji gadya vaparoon vinamulya majkurat deela jaato aanee mulyankanachya mulakhatichya tappyadarmyan mulyankankartyane nivadalelya lima paryayanmadhun pramukhyane tayar kelela ahwal electronic paddhatine dii. doubleu. pii. kadey pathavala jaato. sampoorn ahwal serve nishkarsh nondavanyacha aanee kamasathi tandurustichya shifarshiche samarthan karnyacha prayatna karato. heey ekoon gunanche guna darshavate aanee lakshaniy apangatva asanyachi shakyata aahe qee nahee yaa vidhanasah aanee purvasuchanasaha samapt hote. mulyankananantar, dii. doubleu. pii. chya chya ahavalat rojgar aanee samarthan bhattecha (kinwa sarvatrik patt vadhiv darr) haqq tharavala jaato. yashasvi' davedar 'kamashi sambandhit kriyakalap' madhye bhag gheu shakato qee nahee heey dekhil prakriya tharavate. asha prakare, hii prakriya davedaranna teen gatanmadhye vibhagateh
parinam.
mukhya doubleu. see. aii. neey tyachya sthapanepasun 'kamasathi yogya' shifarshinche uchch praman tayar kele. punarmulyankan karyakramala gatee midalyane, nirnaykartyanni durlaksh kelele praman vadhaleh 2012 madhye 'kamasathi yogya' asalelya shifarshinpaiki 8 takke shifarashi durlakshit karnyat aalya; 2013 madhye hii jawaljawal duppat houn 15 takke jhaali aanee nantar 2014 madhye punha 20 takkyanparyant vadhali.
2009 aanee 2010 madhye prarambhik nirnayansah, jawaljawal done trutiyansh davedaranna dii. doubleu. pii. neey 'kamasathi yogya' ghoshit kele. 2011 madhye punarmulyankan karyakram suru jhalyanantar heey jawaljawal nimmyaparyant ghasarale; 2013 paryant teey eka trutiyansh hote; 2014 paryant, nirnay ghenyachya prakriyechya pahilya tappyat dii. doubleu. pii. neey keval eka chaturthansh davedaranna 'kamasathi yogya' ghoshit kele hote. 
2016 chya pahilya timahitil dii. doubleu. pii. chya aakadevarivarun asey disun aale qee tyaa velee karnyat aalelya doubleu. see. aii. paiki 9 takke junya asamarthata laabh davyanche punarmulyankan hote, tarr 21 takke yashasvi eae. ess. aii. davyanche punarmulyankan hote aanee urvarit 70 takke naveen davyanche naveen moolyankan hote. konatahi fervichar kinwa apeal karnyapurviche parinam asey hoteh
itihas.
doubleu. see. aii. chee suruvat 2008 madhye karnyat aalee hotee. tyapurvi, keval thodya sankhyene asamarthata laabh davedaranna moolyamapan karave lagat hote. tyachya shevatchya karyakalat naveen kamgaranni asamarthata laabh tappyatappyane kadhoon taknyas suruvat kelee aanee tyachya jaagi naveen laabh dilah rojgar aanee sahayya bhatta. naveen chachanichi dhoranatmak uddishte ashee hotih 'tumhi kaay karoo shakat nahee' heey naan pahata 'tumhi kaay karoo shakata' heey pahoon sakaratmak goshtinvar jore dene; naveen apangatva kayade, kamachya thikanche badal aanee vyavsayik aarogyatil ghadamodi vicharat ghene; chachani adhik kathor karane; bahutek naveen davyanche kagdaivaji vaiyaktikaritya moolyankan karane; aanee, ekada naveen chachani purn jhaali qee, jawaljawal pratyek sthapit aajaar laabh praptakartyache punarmulyankan karnyasathi tyacha vapar karane. hii shevatchi done uddishte sulabh karnyasathi doctoransobat kaam karnyasathi paricharika aanee physiotherapist niyukt karoon chachani kshamata paach patine vadhavanyat aalee aanee sanganak-nirmit namunyavar aadharit ardh-sanrachit mulakhat tantracha prathamach vapar karnyat aala.
suruvatila, eae. ess. aii. sathee keval naveen davyanche moolyankan kele gele, parantu aajarpanachya labhanchya sankhyet vaadh jhaali-anshatah banking sankat aanee arthvyavasthevar aanee aanee tyacha parinam yacha parinam. tyanantar lagechach chachanichi ferrerchna suru jhaali. tyaveliche kamgar kalyan sachiv james pernell yanni lihile qee heey aanee itar badal heey sunishchit kartil qee "jeey kharokharach kaam karnyas asamarth aahet" tyannach purn eae. ess. aii. milel. dii. doubleu. pii. chya antargat vaidyakeey tadnyanni 2010 madhye naveen nikash prayogikaritya lagoo kele aanee sansadene tyanna march 2011 madhye kayadeshir ball dile. yapaiki kahee badalanmule vishisht atty asalelya kahee davedaranna eae. ess. aii. milane sope hoil, parantu bahutekancha hetu chachani kathor karane haah hota. tyanantar doubleu. see. aii. haah serve asamarthata laabh praptakartyanchya aanee serve apang lokanchya utpannachya aadharavaril punarmulyankanacha aadhar banala.
2011 madhye, pradhyapak malcum harrington yanni kelelya bahya punaravalokanantar, aii. tii. oo. neey tyanchya kahee mulyankankartyanna 'mansik karya vijeta' mhanoon niyukt kele, jeey pramukhyane mansik aarogyachya samasyanvar itar mulyankankartyanna durdhvani sallah deteel kaaran teey doubleu. see. aii. chya nikashanshi sambandhit aahet tasech 2011 madhye dii. doubleu. pii. neey davedaranna nirnaykartyanche samarthan pathvanyas suruvat kelee, jyat spasht kele gele qee nirnay sadhya ingerjit kassa ghenyat aala. 
2017 madhye, dii. doubleu. pii. neey mhatale qee yapudhe samarthan gatat thevalelya davedaranna, jyanna 'gambhir, aajivan apangatva' aahe (dii. doubleu. pii. neey tharvalyanusar), tyanna yapudhe niyatkalik punarmulyankan karave laganar nahee.

