Barriers and facilitators to access post-stroke rehabilitation services in the first six months of recovery in Brazil.

Autor:	Soares C; Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Magalhães JP; Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Faria-Fortini I; Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Batista LR; Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Andrea Oliveira Lima L; Department of Physical Therapy, Universidade Federal do Ceará, Fortaleza, CE, Brazil., Faria CD; Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 Feb 01, pp. 1-7. Date of Electronic Publication: 2024 Feb 01.
DOI:	10.1080/09638288.2024.2310756
Abstrakt:	Purpose: To identify barriers and facilitators to accessing post-stroke rehabilitation services six months after discharge from the stroke unit of a Brazilian public hospital. Materials and Methods: This cross-sectional and descriptive study collected sociodemographic and clinical-functional data during hospitalization. Then, barriers and facilitators for accessing the post-stroke rehabilitation services were collected six months after discharge. We considered economic conditions and displacement, the quality and organization of post-stroke rehabilitation services, and personal conditions. Results: A total of 174 patients were included. Among the 20 aspects analyzed, 17 (85.0%) were reported as facilitators, while three (15.0%) were as barriers. The identified barriers included financial income available for healthcare (49.4%), waiting time to schedule or to be seen (47.0%), and process to scheduling (45.4%). The main facilitators (> 79.0%) were the expectation of the patient with the treatment and assistance from family and friends. Moreover, most patients indicated as facilitators all aspects related to the quality of post-stroke rehabilitation services. Conclusion: Access to post-stroke rehabilitation services presented more facilitators than barriers. Public policies to subsidize health costs, optimize waiting time, and process for scheduling post-stroke rehabilitation services should be considered to reduce barriers. Likewise, human and financial resources must promote the facilitators.
Databáze:	MEDLINE
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