Need For Rehabilitation Services Research Articles

MANAGEMENT ASPECTS OF THE INTEGRATION OF MEDICAL STATISTICS AND INFORMATION SYSTEMS FOR EFFECTIVE RESOURCE PLANNING IN THE HEALTHCARE SYSTEM

This article delves into the administrative aspects of integrating medical statistics and information systems, focusing on their role in enhancing the efficiency of resource planning within the healthcare system. It emphasizes the critical importance of medical statistics in the development and implementation of effective healthcare programs. These statistics provide essential data on the health status of the population, the distribution of diseases, the utilization of medical resources, and the effectiveness of healthcare services, all of which are crucial for making informed decisions at both the local and national levels. The article also identifies several barriers and challenges in the current medical data management processes, such as the lack of unified standards for data collection and the insufficient integration of information systems. These issues result in fragmented data and complicate the process of data analysis and interpretation, thereby hindering efficient decision-making and resource optimization. The study stresses the need to overcome these obstacles to ensure that medical statistics can be used more effectively to improve healthcare outcomes. In addition, the article explores the integration of various medical information systems, including the Ministry of Health's central database (CBD) and the medical institutions’ internal data management systems. It underlines the necessity for seamless data exchange between different levels of healthcare management to promote transparency, coordination, and accountability in healthcare services. Such integration is crucial for improving the overall quality of healthcare delivery and for making timely, evidence-based decisions. Furthermore, the paper addresses the need for modernizing reporting systems to ensure they align with the latest legal frameworks and to adapt to the evolving healthcare landscape. This is particularly important in the context of the ongoing war in Ukraine, where new challenges are emerging in healthcare management. The article highlights that the current systems of data reporting and collection often fail to meet the specific needs arising from the current socio-political situation, such as the monitoring of displaced persons and the need for rehabilitation services. By investigating these issues, the article aims to provide recommendations for enhancing the management of medical statistics and improving the overall functionality of healthcare systems. The ultimate goal is to create a more integrated and efficient healthcare system that can better respond to the challenges posed by both the ongoing conflict and the long-term health needs of the population.

What Do Nurses Think of Their Role in the Hospital's Restorative Care and Rehabilitation Services for Older Patients?: A Qualitative Systematic Review.

To examine rehabilitation nurses' perspectives on their roles in caring for older patients in hospitals, emphasising how they fulfil these roles and their significance in geriatric rehabilitation (GR). The need for rehabilitation services was rising with an aging population. Rehabilitation nurses provided evidence-based care to older patients and encouraged them to participate in their rehabilitation goals. Rehabilitation nurses were vital to recovery; their contributions needed to be appreciated and valued. A qualitative systematic review. A systematic review was conducted using the Joanna Briggs Institute (JBI) methodology for qualitative evidence and a PROSPERO protocol CRD42023435728 published beforehand. From inception to 9 October, 2023, a comprehensive database search was developed using Medline and translated into five databases, including CINAHL, Web of Science, Scopus, ProQuest and Ageline. Thirty-three studies were reviewed, identifying six key themes, including decision-making, nursing role gaps, care coordination, communication, nursing skills and gender preference. This review examined rehabilitation nurses' experiences working with older patients in rehabilitation services. It highlighted gaps in their recognition and decision-making involvement despite being care coordinators, caregivers and advocates who were undervalued as rehabilitation team members. The review highlighted the importance of valuing nurses' contributions and re-evaluating the rehabilitation model. Interviewing rehabilitation nurses can validate the findings, potentially improving rehabilitation nursing practices for older patients. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Not applied since it was a systematic review.

Assessment of visual impairment and need of rehabilitation services for children attending schools for blind in an urban city of North India.

By understanding the prevalence and causes of childhood blindness, stakeholders can work toward comprehensive strategies that encompass prevention, treatment, rehabilitation, and support, ultimately improving the quality of life for affected children. The information about the pattern and causes of childhood blindness in Northern Indian states is limited, it highlights the need for further research and data collection to better understand and address the specific challenges in this region. Therefore, the present cross-sectional study was planned to ascertain the different causes and patterns of childhood blindness and to understand the barriers to the use of LVAs and its compliance among the students attending schools for the blind in a North Indian State. Students from two schools for blind were examined in Chandigarh and its vicinity in North India. The different causes of severe visual impairment/blindness were classified as per the World Health Organization/Prevention of Blindness standard recording form. A total of 89 students attending schools for the blind were examined. The mean age was 13.10 years (range = 4-16 years). Male, female ratio was 3.3:1. The major causes of blindness were congenital anomalies (whole globe anomalies 37.08%), followed by retinal conditions (16.7 = 8%), undetermined/other (12.3), and lenticular conditions (112%). More than one-third of children (34.8%) were blind due to avoidable causes of blindness. The current study data append on the existing national available data about childhood blindness in India. Though the sample size of the current is comparatively low, observed different results as compared to previously published reports from other regions, emphasize the strengthening of pediatric ophthalmology services as well as of low vision services in this particular region of North India.

World Health Organization Rehabilitation 2030: Call to Action Update.

The Rehabilitation 2030: Call to Action initiative highlighted the global unmet need for rehabilitation services and the importance for enhancing health systems in low- and middle-income countries to deliver these services. Dedicated interprofessional volunteers, such as Association of Rehabilitation Nurses (ARN) nurse leaders, have been integral in working with the technical groups to develop the World Health Organization Rehabilitation Competency Framework and the Package of Interventions for Rehabilitation. These resources are available for countries to "adopt and adapt." The recent launch of the World Rehabilitation Alliance is important to note as they support the Rehabilitation 2030's mission through advocacy activities and offers an opportunity for further ARN involvement.

Trends and projections in rehabilitation demand across 3 decades in China (1990−2019)

Background: China has a large number of people with disabilities and chronic diseases who have rehabilitation needs. Objectives: To estimate the need for rehabilitation in China, we presented the prevalence and years lived with disability (YLDs) of 25 conditions that would benefit from rehabilitation over the course of their life. Methods: This study used the data from the Global Burden of Diseases Study 2019 (GBD 2019) to calculate the prevalence and YLDs. The World Health Organization Rehabilitation Need Estimator was used to calculate the results. Results: In China, 460 million [95% uncertainty interval (UI), 440−480] individuals [male: 220 (220−230); female: 240 (230−250)] had conditions that would benefit from rehabilitation in 2019, contributing to 63 million (47–80) YLDs [male: 29 (22−37); female: 34 (26−43)]. There has been a 70.4% and 75.0% increase in prevalent cases (male vs. female: 69.2% vs. 84.6%) and YLDs (male vs. female: 70.6% vs. 78.9%), respectively, between 1990 and 2019. In 2019, the age-standardized rates of prevalent cases and YLDs per 1000 were 254 (95% UI, 244−264) [male: 251 (243−261); female: 255 (245−267)] and 35.2 (95% UI, 26.6−44.6) [male: 33.2 (24.9−42.1); female: 36.9 (28.0−46.8)], respectively. There has been a 2.3% and 3.0% reduction in the age-standardized rates of prevalent cases (male vs. female: −1.6% vs. −3.8%) and YLDs (male vs. female: −2.1% vs. −3.9%), respectively, between 1990 and 2019. Conclusions: This study shows that the need for rehabilitation services in China has increased significantly in the past 3 decades. Therefore, we propose that rehabilitation must be integral to “Healthy China 2030” and the whole health system—especially in primary health care—to serve more people in need.

The supply and demand for rehabilitation health workforce in Saudi Arabia.

Adequate supply of rehabilitation health workforce is a prerequisite for enhancing access to rehabilitation care. However, there is a lack of comprehensive data regarding the supply of rehabilitation health workers in Saudi Arabia. To determine the need for, and supply of, rehabilitation workforce, and investigate the relationship between rehabilitation workforce supply and rehabilitation needs in Saudi Arabia. This cross-sectional study measured the ratio of physiotherapists and occupational therapists per 10 000 population. Data were obtained from the Ministry of Health, family health survey and census data of the General Authority for Statistics and published literature. To assess the need for rehabilitation services, we computed a composite disability index based on 3 variables: count of individuals with physical disabilities, those with chronic diseases, and those aged > 65 years. Determinants of the supply potential were population size, rural population percentage, and physician supply. Data were analysed using descriptive statistics and simple linear regression. The ratios of physiotherapists and occupational therapists working at the Ministry of Health facilities were 0.69 and 0.03 per 10 000 population, respectively. Overall rehabilitation health workforce ratio was 0.73 per 10 000. Supply varied across regions, from 0.4 for Riyadh to 2.5 for Al Jouf. Nine regions exceeded the overall ratio. Rehabilitation need index ranged from 0.144 in Najran to 0.212 in Aseer. No significant associations were found between rehabilitation workforce supply on one hand, and need and other potential determinants on the other hand. The rehabilitation workforce supply in Saudi Arabia surpassed the regional and global averages, but was lower than the average for high-income countries. Workforce distribution varied by region across the country and was not related to need. It is important to consider the need for rehabilitation services and context-specific factors when determining the optimal size and distribution of the rehabilitation health workforce in Saudi Arabia.

The chiropractors' dilemma in caring for older patients with musculoskeletal complaints: Collaborate, integrate, coexist, or separate?

The world's elderly population is growing at a rapid pace. This has led to an increase in demand on the health and welfare systems due to age-related disorders, with musculoskeletal complaints driving the need for rehabilitation services. However, there are concerns about health services' ability to meet this demand. While chiropractic care is gaining recognition for its benefits in treating older adults with musculoskeletal disorders, there is limited scientific literature on chiropractors' role and experiences in this area. To bridge this gap, we interviewed 21 chiropractors in Great Britain, the Netherlands, Norway, and Sweden. Inductive qualitative content analysis was used to analyse the interviews, and despite differences in integration and regulation between the countries, several common facilitators and barriers in caring for and managing older patients with musculoskeletal complaints emerged. While participants expressed optimism about future collaborations with other healthcare professionals and the integration of chiropractic into national healthcare systems, they also highlighted significant concerns regarding the existing healthcare infrastructure. The participants also felt that chiropractors, with their non-surgical and holistic approach, were well-positioned to be the primary point of contact for older patients. However, there were some common barriers, such as the affordability of care, limited integration of chiropractic, and the need to prioritise musculoskeletal complaints within public healthcare. Our findings suggest that chiropractors experience their clinical competencies as an underutilised resource in the available healthcare systems and that they could contribute to and potentially reduce the escalating burden of musculoskeletal complaints and associated costs among older patients. Additionally, our findings highlight the desire among the participants to foster collaboration among healthcare professionals and integrate chiropractic into the national public healthcare system. Integrating chiropractors as allied health professionals was also perceived to improve coordinated, patient-centred healthcare for older adults.

Addressing the Rehabilitation Needs of Women Experiencing Infertility in Ethiopia: Time for Action.

The psychological, social, and financial disabilities caused by infertility are significant for women, particularly those living in low- and middle-income countries such as Ethiopia. Although rehabilitation can be an important form of support for such women, infertility is frequently overlooked as a disability or potential target of rehabilitation interventions. This study aimed to determine what rehabilitation-related services and supports are available for women experiencing infertility in Ethiopia. We used an Interpretive Description design. We purposefully selected fourteen rehabilitation, medical, and policy service providers from diverse institutions across three geographical locations. We used semi-structured questions during our in-person and telephone interviews. The data were analyzed using reflexive thematic analysis with the assistance of NVivo. We identified five main themes, including (a) policies related to infertility, (b) the concept that disabilities are physically visible fails to recognize infertility, (c) the need for rehabilitation services for women with infertility, (d) the importance of wellness services for women experiencing infertility, and (e) the role of religion in rehabilitation services. In conclusion, it is essential to strengthen the policies around infertility, incorporate rehabilitation services in fertility care, and view infertility as a disabling condition for women who experience it in Ethiopia.

Health-related quality of life, needs, and concerns among cancer survivors referred to rehabilitation in primary healthcare setting.

There is a growing need for rehabilitation services beyond hospitals. This study aims to describe challenges faced by cancer survivors (CSs) referred for rehabilitation in primary healthcare, employing standardized scales measuring health-related quality of life (HRQOL) and open-ended questions. Furthermore, the study explores the applicability of patient-reported outcomes (PROs) in comprehensively understanding challenges encountered by CSs. This cross-sectional study involves CSs referred for cancer rehabilitation in a primary healthcare setting, including those participating in PROs as a part of routine practice. HRQOL was assessed using the Functional Assessment of Cancer Therapy-General (FACT-G). The International Classification of Functioning, Disability and Health (ICF) framed the analysis of responses to open-ended questions 'what concerns you the most?' and 'what matters to you?' Results: FACT-G showed the lowest scores for functional well-being (14.4) and emotional well-being (16.6), with higher scores for physical well-being (18.9) and social/family well-being (21.1). Responses to open-ended questions unveiled worries about everyday life and how cancer will impact family well-being presently and in the future. Furthermore, CSs reported a need to maintain normality and proactively address the challenges posed by the disease. CSs referred for rehabilitation in primary healthcare experience comprehensive challenges necessitating a holistic rehabilitation approach. This includes interventions supporting CSs in dealing with uncertainty, regaining a sense of control, and addressing family well-being concerns. When using PROs for need assessment, the combination of validated HRQOL scales and open-ended questions is crucial for an in-depth understanding of CSs' challenges.

Barriers and facilitators for increased accessibility to quality rehabilitation services in low- and middle- income countries: a systematic review.

With an increasing number of people experiencing limitations in functioning during their life course, the need for comprehensive rehabilitation services is high. In 2017, the WHO Rehabilitation 2030 initiative noted that the need for the establishment and expansion of rehabilitation services is paramount in order to obtain well-being for the population and to ensure equal access to quality healthcare for all. The organization of rehabilitation services is however facing challenges especially in low-and middle-income countries with a very small proportion of people who require rehabilitation actually getting them. Various surveys conducted in low-and -middle income countries have revealed existing gaps between the need for rehabilitation services and the actual receipt of these services. This systematic review aimed to determine the barriers and facilitators for increasing accessibility to rehabilitation services in low- and middle-income countries. Recommendations for strengthening rehabilitation service organization are presented based on the available retrieved data. In this systematic review, an electronic search through three primary databases, including Medline (PubMed), Scopus and Web of Science (WOS) was conducted to identify original studies reporting on barriers and facilitators for rehabilitation service organization in low-and middle-income countries. Date of search: 25th April 2021 (PubMed), 3rd May 2021 (Scopus and Web of Science). All studies including barriers or/and facilitators for rehabilitation services in low- and middle income countries which were written in English were included in the review. The articles written in other languages and grey literature, were excluded from this review. Total of 42 articles were included from year 1989 to 2021. Numerous barriers were identified that related to education, resources, leadership, policy, technology and advanced treatment, community-based rehabilitation (CBR), social support, cultural influences, political issues, registries and standards of care. National health insurance including rehabilitation and funding from government and NGOs are some of the facilitators to strengthen rehabilitation service organization. Availability of CBR programs, academic rehabilitation training programs for allied health professionals, collaboration between Ministry of Heath (MOH) and Non-governmental Organizations (NGOs) on telerehabilitation services are amongst other facilitators. Recommendations for improving and expanding rehabilitation service organization include funding, training, education, and sharing of resources.

The Role of Nurses in Rehabilitation in Primary Health Care for Ageing Populations: A Secondary Analysis from a Scoping Review.

With the ageing of the global population and the rise in noncommunicable diseases, there is an increased need for rehabilitation services, especially those that address the specific needs of ageing populations. Through their proximity to patients, nurses play a critical role in providing rehabilitation interventions for older adults in primary health care. However, they are not yet established as typical rehabilitation providers and further research is needed to clarify their role and competencies to optimize rehabilitation interventions for ageing populations. Therefore, this secondary analysis of a scoping review aims to describe the role of nurses in the provision of rehabilitation interventions to ageing populations in primary health care. This review was carried out following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. It is built on all inclusion and exclusion criteria from the primary analysis and focused on studies including nurses and taking place in primary health care. Data analysis included descriptive statistics, as well as qualitative analysis on the role of nurses. A total of 68 studies from high- and upper-middle income countries were included. Nurses typically had a managerial and clinical role (76%) and worked in multidisciplinary teams (54%), most often with physical therapists. Nurses provided 355 interventions, with assessments (n = 106; 30%), and coordination and management of the rehabilitation process (n = 105; 30%) being the most frequent ones. They had 117 different job titles and little information was available about their educational background. This paper contributes to a better understanding of the key role nurses play in providing rehabilitation interventions to ageing populations in primary health care. Matching nurses' competencies with their level of proficiency is essential to ensure quality care in rehabilitation.

Barriers of Rehabilitation Services among the Stroke Patients in the Selected Community area of Dhaka, Bangladesh

Health care service is a global issue. Now a day’s rehabilitation services play a vital role to regain the normal health for participate in daily activities. At present, the need for rehabilitation services is largely unmet due the insufficient rehabilitation professionals, rehabilitation friendly infrastructures, skilled labor and awareness among the community, family and caregivers. World Health Organization (WHO) stated that in many low- and middle-income countries, there is a lack of trained professionals to provide rehabilitation services, with less than 10 skilled rehabilitation practitioners per 1 million populations. It is important to find the barriers in rehabilitation services provided among the stroke patients. The study was conducted to find out the barriers that effect on rehabilitation services among the stroke patients. So that concern authority can take necessary action to ensure the rehabilitation services among the mass people of the country. A qualitative phenomenological approach was used to collect information regarding the barriers experienced by stroke patients and their family. The main barriers to the rehabilitation services are low socio-economic status of the participants, inaccessible infrastructures and transports, high cost of the rehabilitation services, crisis of the graduate rehabilitation professionals, negative attitudes of the caregiver towards the stroke patients. Stroke rehabilitation service should be integrated towards the mainstreamed health system at community level to improve the lives of persons suffer from stroke in Bangladesh.

Analysis of the need for rehabilitation measures for children with disabled living in boarding schools in Moscow

BACKGROUND: The low efficiency in restoring impaired functions and overcoming of limitations in daily activity in children with disabilities living in children’s psychoneurological boarding houses in Moscow determined the relevance of the study.
 OBJECTIVE: The study aimed to examine the contents of individual rehabilitation or habilitation programs developed in the Federal State Institution “Main Bureau of Medical and Social Expertise in the Moscow Region” of the Ministry of Labor of Russia for 2019–2021 for disabled children living in children’s psychoneurological boarding houses and determine the need for rehabilitation services to make changes and additions.
 MATERIALS AND METHODS: The study included a population of disabled children in the Moscow’s children’s homes (n=843) (sources: certificates of examination, individual rehabilitation or habilitation programs for 2019–2021, and statistical reporting forms № 7-D [Sobes]). An analysis of the contents of individual rehabilitation or habilitation programs and the need for rehabilitation measures was conducted.
 RESULTS: The contingent of children with disabilities living in children’s psychoneurological boarding houses included children with varying degrees of disability, resulting from persistent disorders impairing body function. The dynamics of 2019–2021 revealed need for complex rehabilitation, including medical, sociopsychological, and sociocultural rehabilitation measures.
 CONCLUSION: The obtained data indicate the need to study ways to improve the effectiveness of rehabilitation measures to assess implementation results at each stage and their timely actualization.

Hyper-Acute Rehabilitation: A Step towards Rehabilitation 2030

Abstract There is a huge unmet need for rehabilitation services in low middle income countries like India. Rehabilitation needs are high in India with increasing demand for quality care. Making rehabilitation services financially viable for the hospitals and at the same time affordable for patients is one of the greatest challenges faced by the Rehabilitation Physicians. The article attempts to highlight Hyper acute rehabilitation as the need of the hour in India and urges training of rehabilitation team members in the same.

SPECTRAL CHARACTERISTICS OF THE ELECTROMYOGRAPHIC SIGNAL TO ASSESS THE QUALITY OF THERAPY AND REHABILITATION IN PATIENTS WITH LOW BACK PAIN

Disorders and diseases of the musculoskeletal system are the most important factor in the global need for rehabilitation services. Low back pain is the leading cause of the global burden of musculoskeletal disease. Objectification of the assessment of the state of the musculoskeletal system can help in diagnosing and differentiating the patient's conditions, assessing the quality of therapy and rehabilitation. This work is devoted to the analysis of quantitative criteria for assessing the state of the musculoskeletal system according to objective data of electromyographic research.

Rehabilitation - Is an Important Aspect of Universal Health Coverage

Rehabilitation is important, as are other facets of universal health coverage such efficient illness prevention, treatment, and palliative care. A person who has undergone rehabilitation can participate in school, job, recreation, and important life responsibilities including caring for family members. Rehabilitation enables a child, adult, or senior to be as independent as possible in daily activities. A health issue that could be treated by rehabilitation affects an estimated 2.4 billion individuals worldwide. The need for rehabilitation services is anticipated to increase globally as a result of changes in population health and features. People are living longer but with more chronic illness and incapacity, for instance. Rehabilitation needs are now mostly unmet. More than half of the population does not obtain the necessary rehabilitation services in several low- and middle-income nations. Rehabilitation and other healthcare programs have been severely impacted by the COVID-19 pandemic.

Multi-user upper limb rehabilitation training system integrating social interaction

COVID-19 causes persistent symptoms such as weakness and myasthenia in most patients. Due to the cross-infection of COVID-19, the traditional face-to-face rehabilitation services are risky for the elderly. To ensure that the elderly in urgent need of rehabilitation services receive training while minimizing the disturbance of the COVID-19 pandemic on their social activities. We have improved the existing virtual upper limb training system, and added a social factor to the system. Seniors with upper limb rehabilitation needs can use the system to compete or collaborate with others for training. In addition, a set of natural and scientific exclusive gestures have been designed under the direction of following the doctor’s advice. The experiment is conducted jointly with the chief physicians of the geriatrics department in the authoritative class-A hospitals of Class III. Our experiment, which lasted for two months, showed that the virtual training system with social factors added had the best rehabilitation effect and enhanced the initiative of patients. The system has value for popularization during the COVID-19 epidemic.

Rehabilitation- Is a Vital Component of Universal Health Coverage

Rehabilitation is important, as are other facets of universal health coverage such efficient illness prevention, treatment, and palliative care. A person who has undergone rehabilitation can participate in school, job, recreation, and important life responsibilities including caring for family members. Rehabilitation enables a child, adult, or senior to be as independent as possible in daily activities. A health issue that could be treated by rehabilitation affects an estimated 2.4 billion individuals worldwide. The need for rehabilitation services is anticipated to increase globally as a result of changes in population health and features. People are living longer but with more chronic illness and incapacity, for instance. Rehabilitation needs are now mostly unmet. More than half of the population does not obtain the necessary rehabilitation services in several low- and middle-income nations. Rehabilitation and other healthcare programs have been severely impacted by the COVID-19 pandemic.

Expanding access to rehabilitation using mobile health to address musculoskeletal pain and disability.

Musculoskeletal (MSK) disorders such as low back pain and osteoarthritis are a leading cause of disability and the leading contributor to the need for rehabilitation services globally. This need has surpassed the availability of trained clinicians; even in urban areas where services and providers are thought to be more abundant, access can be challenged by transportation options and financial costs associated with travel, care and lost time from work. However, continuing standard of fully in-person rehabilitation care for MSK-associated pain and disability may no longer be necessary. With increased ownership or access to even a basic mobile phone device, and evidence for remote management by trained clinicians, some individuals with MSK disorders may be able to continue their rehabilitation regimen predominantly from home after initial evaluation in primary care or an outpatient clinic. This manuscript describes application of a framework we used to culturally and contextually adapt an evidence-based approach for leveraging digital health technology using a mobile phone (mHealth) to expand access to rehabilitation services for MSK-associated pain and disability. We then conducted a multi-level analysis of policies related to the adapted approach for rehabilitation service delivery to identify opportunities to support sustainability. Our study was conducted in Tanzania, a lower-middle income country with their first National Rehabilitation Strategic Plan released in 2021. Lessons learned can be applied even to countries with greater infrastructure or fewer barriers. The seven-step adaptation framework used can be applied in other regions to improve the likelihood of local mHealth adoption and implementation. Our practice and policy assessment for Tanzania can be applied in other regions and used collaboratively with government officials in support of building or implementing a national rehabilitation strategic plan. The work described, lessons learned and components of the plan are generalizable globally and can improve access to rehabilitation services using mHealth to address the significant and increasing burden of disability.

The need for rehabilitation services in the WHO European Region is substantial and growing.

The need for rehabilitation services in the WHO European Region is substantial and growing.