Completeness of implementation of Individual Rehabilitation Plans and satisfaction with its results (according to a survey of people with disabilities after musculoskeletal injuries)

Le résumé fourni par la source

Aim: To analyze the completeness of Individual Rehabilitation Plans and satisfaction with its results (based on a survey of people with disabilities after musculoskeletal injuries). Materials and Methods: According to the original author’s program, a cross-sectional medical and sociological survey was conducted of 151 randomly selected people with disability after musculoskeletal injuries over the age of 18, residents of Ivano-Frankivsk region. Results: It was found that 72.2% of respondents were dissatisfied with their rehabilitation. Individual Rehabilitation Plans of the vast majority (92.7%) were performed partially (60.0%) or not at all. The main reasons were financial limitations (50.0%) and improper communication from medical and rehabilitation settings (31.9%). Rehabilitation services were provided to respondents in insufficient quantities, although coverage increased from 9.3-13.3% in the acute period to 51.3-62.4% in the long-term period. A significant need for psychological consultation was identified (39.7%) against the background of the lack of information about the possibility of obtaining it (60.7%). In two-thirds of cases (64.8%) the surveyed persons are not sufficiently provided with assistive rehabilitation devices and in half of cases (52.3%) they are not informed about the social support services they are entitled to. To improve communication and coordination of all stakeholders in the long-term rehabilitation, it is proposed to identify a responsible rehabilitation manager at the community level, whose functions can be assigned to a public health specialist or to the head or responsible person of the primary health care facility. Conclusions: Improving of the rehabilitation effectiveness requires enhancing communication and coordination between all stakeholders of the rehabilitation process.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.