Scaling up rehabilitation - Towards an international policy agenda

Gütenbrunner, Christoph; Bickenbach, Jerome; Borg, Kristian; Nugraha, Boya; Melvin, John L.; Stucki, Gerold

doi:10.2340/16501977-2317

Cited by 4 publications

(4 citation statements)

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“…15 , 16 Therefore, to investigate the availability of rehabilitation services, all inpatient, outpatient, community-based, and long-term medical rehabilitation services should be informed of short intensive and long-term care. 4 Based on this study, there is currently approximately one rehabilitation bed per million population in a third-level hospital in the inpatient section. 14 In second-level hospitals, although medical acute care services, such as stroke care, cerebral trauma care, etc., are provided for patients in different units, such as neurology, orthopedics, and neurosurgery units, rehabilitation services are very limited.…”

Section: Discussionmentioning

confidence: 93%

“…The list was developed in the study by Shirazikhah et al to identify the availability of rehabilitation services in Iran. 4 The SARA survey was used in the study and based on the results of the two focus group discussions, the list of rehabilitation facilities in Iran was obtained. The list has two main sections: 1) rehabilitation infrastructure, and 2) rehabilitation workforce.…”

Section: Methodsmentioning

confidence: 99%

“… 2 , 3 Rehabilitation services are not limited to “people with disabilities”, and all members of the community can benefit from them. 4 In the absence of rehabilitation services and lack of access to them, the consequences of diseases or injuries increase in individuals and limit their activities and participation in the society. This ultimately reduces the quality of life and increases treatment and rehabilitation costs for people with disabilities.…”

Section: Introductionmentioning

confidence: 99%

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Availability of Physical Rehabilitation Facilities for People with Disabilities in Iran: A Comparative Study on Universal Health Coverage

et al. 2022

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Background: Iran, like many other countries, has committed to providing universal and equal access to health care and rehabilitation for people with disabilities by joining the Convention on the Rights of People with Disabilities. Thus, this study aimed to examine the availability of rehabilitation facilities on national and sub-national levels. Methods: This cross-sectional study was conducted between May and December 2019. The data of rehabilitation facilities including infrastructure and rehabilitation workforce in health system settings were obtained using rehabilitation master list. The data were collected from the Vice-Chancellor for the Treatment Ministry of Health and Medical Education, the Rehabilitation of the State Welfare Organization, and Licensing and Planning the Medical Council in the 32 provinces of Iran and analyzed using Excel version 2016. Results: On the national level, the following situation was found: in inpatient settings: 1.1 beds per million population; in outpatient settings: physiotherapy 42.6, optometry 16.4, audiology 10.5,occupational therapy 8.2, speech therapy 8.1, orthotic & prosthetic 4.5, physical medicine & rehabilitation 3.8 centers; day-care centers 11.7 and rehabilitation centers 1.3 centers, community-based rehabilitation (CBR): 15.9 units, rehabilitation home care 2 centers, rehabilitation nursing home care 1.6 centers and medical rehabilitation home care 0.3; Long-term care centers: residential care 4.1 centers per million population. Regarding rehabilitation work force: physiotherapists 84, speech therapists 34.8, occupational therapists 32.5, optometrists 31.2, audiologists 27.9, prosthetists and orthotists 10.3 therapists and physical medicine & rehabilitation 5.1 specialists per million populations. On the sub-national level, there were no outpatient rehabilitation centers in 12 of the provinces and the distribution of day rehabilitation centers in the rich provinces was 10 times higher. The number of CBR units, rehabilitation home care and rehabilitation nursing home were 40, 22, and 23 times higher in rich provinces than in poor provinces, respectively and there were no medical rehabilitation home care centers in 21 provinces. Regarding long-term care, the residential care centers in the richest province were 8 times higher. Conclusion: According to the WHO report and the rehabilitation expert panel, it was concluded that the number of rehabilitation facilities including rehabilitation centers and workforce was limited in Iran and that the available centers were also poorly distributed in the provinces of the country. This made it difficult for people to have fair access to rehabilitation services. It appears that health policymakers should pay special attention to further developing rehabilitation facilities.

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Section: Discussionmentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Availability of Physical Rehabilitation Facilities for People with Disabilities in Iran: A Comparative Study on Universal Health Coverage

et al. 2022

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“…With an aging population and the increasing prevalence of non-communicable diseases, limitations in functioning and disability are increasing [135]. The specific team-oriented approach aimed at human functioning and the reduction of consequences of (permanent) disease or trauma can arguably benefit the general health care system and the emerging needs for people with functional limitations [135,136]. Following Gutenbrunner et al, the implementation of the strategies and character of rehabilitation medicine and care into a broader health care system would potentially generate an array of different types of health-related rehabilitation services, from acute to post-acute and long-term care services, including community-based rehabilitation service [137].…”

Section: Rehabilitation 2030mentioning

confidence: 99%

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

Woude

Houdijk

Janssen

et al. 2020

Disability and Rehabilitation

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Background: Human movement, rehabilitation, and allied sciences have embraced their ambitions within the cycle of "RehabMove" congresses over the past 30 years. This combination of disciplines and collaborations in the Netherlands has tried to provide answers to questions in the fields of rehabilitation and adapted sports, while simultaneously generating new questions and challenges. These research questions help us to further deepen our understanding of (impaired) human movement and functioning, with and without supportive technologies, and stress the importance of continued multidisciplinary (inter)national collaboration. Methods: This position stand provides answers that were conceived by the authors in a creative process underlining the preparation of the 6th RehabMove Congress. Results: The take-home message of the RehabMove2018 Congress is a plea for continued multidisciplinary research in the fields of rehabilitation and adapted sports. This should be aimed at more individualized notions of human functioning, practice, and training, but also of performance, improved supportive technology, and appropriate "human and technology asset management" at both individual and organization levels and over the lifespan. Conclusions: With this, we anticipate to support the development of rehabilitation sciences and technology and to stimulate the use of rehabilitation notions in general health care. We also hope to help ensure a stronger embodiment of preventive and lifestyle medicine in rehabilitation practice. Indeed, general health care and rehabilitation practice require a healthy and active lifestyle management and research agenda in the context of primary, secondary, and tertiary prevention. ä IMPLICATIONS FOR REHABILITATION Continued multidisciplinary (international) collaboration will stimulate the development of rehabilitation and human movement sciences. Notions from "human and technology asset management and ergonomics" are fundamental to rehabilitation practice and research. The rehabilitation concept will further merge into general health care and the quality there-off.

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Functional Status as a Central Indicator of Health Status: The Role of Physiotherapy

Richardson

2020

Physiotherapy Canada

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Scaling up rehabilitation - Towards an international policy agenda

Abstract: No Abstract (Guest Editorial).

Cited by 4 publications

References 0 publications

Availability of Physical Rehabilitation Facilities for People with Disabilities in Iran: A Comparative Study on Universal Health Coverage

Availability of Physical Rehabilitation Facilities for People with Disabilities in Iran: A Comparative Study on Universal Health Coverage

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

Functional Status as a Central Indicator of Health Status: The Role of Physiotherapy

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