Strengthening Health Systems to Provide Rehabilitation Services

Krug, Etienne G.; Cieza, Alarcos

doi:10.5535/arm.2017.41.2.169

Cited by 23 publications

(32 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For instance, children with complex health conditions and people with HIV/AIDs now increasingly survive in LMICs but with associated disabilities and rehabilitation needs often unmet [84,86,[96][97][98][99]. In this scenario, granting access to needed rehabilitation, especially in LMICs, is of utmost importance [24,85,87], and justified by the current YLDs data.…”

Section: Resultsmentioning

confidence: 99%

“…Historically, LMICs' health systems and global health activities have been focused in reducing preventable mortality, while the global burden of non-fatal health losses has been lagging in terms of global health priority, resources, and gains [1,5,6,100]. Fortunately, there is now a global awareness about the need to avert preventable YLDs through appropriate healthcare services, including rehabilitation [5,6,24,101]. Similarly, global health policies are, now, more inclusive of people with disabilities and their rehabilitation needs [87,102,103].…”

Section: Resultsmentioning

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%

“…papers analyzing publication trends in physical rehabilitation and physical therapy across conditions [20][21][22]; and finally on the below working definition [23][24][25][26][27][28]. Of note, within the application of the working definition and exclusion criteria, 'dubious' selection decisions existed.…”

Section: Data Selectionmentioning

confidence: 99%

See 3 more Smart Citations

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

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Data Selectionmentioning

confidence: 99%

See 2 more Smart Citations

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

show abstract

“…Due to the increasing number of the ageing population with chronic and complex diseases, economic challenges and a shortage of health professionals have been reported worldwide (Krug & Cieza, ). To accommodate this, support personnel are engaged to provide clinical tasks traditionally performed by professionals (Colbran‐Smith, ; Fulton et al, ; Kakuma et al, ; Lizarondo, Kumar, Hyde, & Skidmore, ; Munn, Tufanaru, & Aromataris, ; World Health Organization, ).…”

Section: Introductionmentioning

confidence: 99%

The practice of support personnel, supervised by physiotherapists, in Norwegian reablement services

Eliassen

Henriksen

Moe

2018

Physiotherapy Res Intl

View full text Add to dashboard Cite

Objectives: Reablement is a relatively new service targeting people with or at risk of functional decline. The approach is team based, and physiotherapists (PTs), occupational therapists, and nurses have the responsibility to guide and supervise the support personnel, referred to as home trainers (HTs). The aim of this study was to explore how the HTs follow up instructions and supervision by PTs in reablement.Methods: This qualitative study included video recordings of practice and individual interviews in seven Norwegian reablement teams. The analysis involved a triangulation of all data. Results:The results identified that HTs had the main responsibility to carry out interventions in reablement and were also expected to report back to the therapists if they recognized further need for assessment or adjustments. The content of the practices varied considerably along a continuum from rigidly standardized practices to individually tailored approaches emphasizing quality of movement. This paper presents analyses of two examples representing the two widely different approaches.Conclusion: Practitioners and health authorities should be aware of the broad variation in reablement services in Norwegian municipalities. The results indicate that a standardized approach may be more efficient in the short term, targeting a large population, whereas a tailored approach, valuing quality of movement, is essential to provide high-quality movement training for users with complex rehabilitation needs. The target groups receiving the different reablement methods should be clearly identified.

show abstract