Needs and unmet needs for rehabilitation services: a scoping review

Kamenov, Kaloyan; Mills, Jody-Anne; Chatterji, Somnath; Cieza, Alarcos

doi:10.1080/09638288.2017.1422036

Cited by 138 publications

(114 citation statements)

References 65 publications

Supporting

Mentioning

108

Contrasting

Unclassified

Order By: Relevance

“…The growth over time has been significant and relatively linear, i.e., constant, over the 28-year period; nonetheless, rehabilitation represents a very small portion of all HPSSR. This may be concerning given the current high levels of physical rehabilitation needs worldwide (e.g., in 2017, 40% of the world's non-fatal health loss came from conditions amenable to physical rehabilitation [1]), the significant growth in those needs observed across country and condition types [1,61], the evidence for large gaps in the physical rehabilitation supply [6,29], and the growing evidence on the individual, economic, and broader societal benefits associated to the delivery of appropriate physical rehabilitation services [2,[62][63][64][65]. In other words, we have found that the amount of Rehabilitation HPSSR is a disproportionate to the global population's needs for such services.…”

Section: Discussionmentioning

confidence: 99%

“…Rehabilitation services are increasingly needed around the globe, following the global ageing population and the increased rates of chronic conditions and disabilities [1,2]. However, health systems worldwide are often under-resourced and ill-prepared to efficiently meet the rehabilitation needs of the population [3][4][5][6][7][8][9]. Production, dissemination, and uptake of rehabilitation-focused health policy, systems, and services research (i.e., Rehabilitation HPSSR) are a means to strengthen health systems' capacity to deliver appropriate, high-value rehabilitation services, toward sustainably meeting the growing rehabilitation needs of the population [10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990–2017) and across Country Type

Jesus

Hoenig

Landry

2020

IJERPH

View full text Add to dashboard Cite

Background: Health policy, systems and services research (HPSSR) is increasingly needed to enable better access to, and value of, rehabilitation services worldwide. We aim to quantify the growth of Rehabilitation HPSSR publications since 1990, compared to that of overall rehabilitation research and overall HPSSR. Methods: Quantitative, comparative analysis of publication trends using the PubMed database and its indexation system. Comprehensive search filters, based on Medical Subject Headings (MeSH), were built and calibrated to locate research articles with content on HPSSR and rehabilitation of physical impairments. Additional filters were used for locating research publications declaring funding support, publications in rehabilitation journals, and finally publications focused on high-income (HICs) or low- and middle-income countries (LMICs). The same approach was used for retrieving data on comparator fields—overall HPSSR and overall rehabilitation research. Linear regressions, with ANOVA, were used for analyzing yearly publication growths over the 28-year time frame. Results: Rehabilitation HPSSR publications in PubMed have grown significantly from 1990 to 2017 in the percentage of all rehabilitation research (from 11% to 18%) and all HPSSR (from 2.8% to 3.9%; both p < 0.001). The rate of Rehabilitation HPSSR published in rehabilitation journals did not change significantly over time (p = 0.47). The rates of publications with declared funding support increased significantly, but such growth did not differ significantly from that of the comparator fields. Finally, LMICs accounted for 9.3% of the country-focused rehabilitation HPSSR since 1990, but this percentage value increased significantly (p < 0.001) from 6% in 1990 to 13% in 2017. Conclusion: Rehabilitation HPSSR publications, i.e., those indexed in PubMed with related MeSH terms, have grown in both absolute and relative values. Rehabilitation HPSSR publications focused on LMICs also grew significantly since 1990, but still remained a tiny portion of the Rehabilitation HPSSR publications with country-specific MeSH terms.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990–2017) and across Country Type

Jesus

Hoenig

Landry

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…We tested for two hierarchical levels of statistical significance: 99 and 95%, respectively. On Age-standardized YLD Rates, which adjusted YLDs for population size and ageing, Table 2 shows that only high-income and lower middle-income countries had a significant change since 1990, but while the latter had a linear growth ( LMICs remain quite limited [7,19,26,83,84]. The WHO estimates that skilled rehabilitation professionals for many LMICs are currently about one-tenth of those required [7].…”

Section: Discussionmentioning

confidence: 99%

“…The WHO estimates that skilled rehabilitation professionals for many LMICs are currently about one-tenth of those required [7]. Hence, many argue it is urgent to take action to supply LMICs with increased resources, [24,26,[83][84][85][86][87] and especially so given the higher nominal increases of physical rehabilitation needs.…”

Section: Discussionmentioning

confidence: 99%

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Jesus

Landry

Hoenig

2019

Preprint

View full text Add to dashboard Cite

Background: To inform global health policies and resources planning, this paper analyzes evolving trends in physical rehabilitation needs, using data on Years Lived with Disability (YLDs) from the Global Burden of Disease Study (GBD) 2017. Methods: Secondary analysis of how YLDs from conditions amenable to physical rehabilitation have evolved from 1990 to 2017, for the world and across countries of varying income levels. Linear regression analyses were used. Results: A 66.2% growth was found in estimated YLD Counts amenable to physical rehabilitation: a significant and linear growth of more than 5.1 billion YLDs per year (99%CI: 4.8–5.4; r2 = 0.99). Low-income countries more than doubled (111.5% growth) their YLD Counts amenable to physical rehabilitation since 1990. YLD Rates per 100,000 people and the percentage of YLDs amenable to physical rehabilitation also grew significantly over time, across locations (all p > 0.05). Finally, only in high-income countries Age-standardized YLD Rates significantly decreased (p < 0.01; r² = 0.86). Conclusions: Physical rehabilitation needs have been growing significantly in absolute, per-capita and in percentage of total YLDs, globally and across countries of varying income level. In absolute terms, growths were higher in lower income countries, wherein rehabilitation is under-resourced.

show abstract

“…The use of non-medical approaches as a social prescription for people facing cardiac surgery -and those post-discharge, can help reduce the reported 'unmet' needs -particularly, for the older population (Kamenov et al 2018). There is scope within cardiac rehabilitation programmes, and the advice and support provided by cardiac nurses, to better utilise interventions that promote physical activity predicated on a personalised care approach.…”

Section: Thinking Differently…implications For Cardiology Beginningmentioning

confidence: 99%

Social prescribing in cardiology: rediscovering the nature within us

Howarth

Lister

2019

British Journal of Cardiac Nursing

View full text Add to dashboard Cite

Personalised care is integral to the delivery of the NHS England Long Term Plan. Enabling choice and supporting patients to make decisions predicated on ‘what matters to them’, rather than ‘what is the matter with them’ is a fundamental part of the NHS vision. Social prescribing uses non-medical, asset-based, salutogenic approaches to promote this personalised paradigm, and places the patient central to decision making. This article discusses how personalised care can be used to help people with cardiovascular disease using socially prescribed ‘nature-based’ interventions to support the pre-habilitation and rehabilitation of patients with cardiovascular disease. The concept of personalised care outlined and the significance of salutogenic principles as a complementary approach to the pathogenic model is discussed. The authors argue that this seemingly novel approach to using nature-based interventions can help promote wellbeing for people with cardiovascular disease as part of the wider personalised agenda.

show abstract

Needs and unmet needs for rehabilitation services: a scoping review

Cited by 138 publications

References 65 publications

Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990–2017) and across Country Type

Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990–2017) and across Country Type

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Social prescribing in cardiology: rediscovering the nature within us

Contact Info

Product

Resources

About