Unmet needs to admission in physical and rehabilitation inpatient department in Low and Middle Income Countries in 2023.

Autor: Moncer R; Physical and Rehabilitation Department Sahloul Hospital of Sousse, Sousse, Tunisia.; Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.; Research Laboratory LR19SP01, Tunisia., Feni N; Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.; Physical and Rehabilitation Department Kairouan, Kairouan, Tunisia., Houssem G; Physical and Rehabilitation Department Sahloul Hospital of Sousse, Sousse, Tunisia.; Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia., Loubiri I; Physical and Rehabilitation Department Sahloul Hospital of Sousse, Sousse, Tunisia.; Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia., Mtaouaa S; Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.; Physical and Rehabilitation Department Kairouan, Kairouan, Tunisia., Jemni S; Physical and Rehabilitation Department Sahloul Hospital of Sousse, Sousse, Tunisia.; Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia., Abdelaziz AB; Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.; Research Laboratory LR19SP01, Tunisia.; Information System Department, Sahloul Hospital of Sousse, Sousse, Tunisia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Oct 17; Vol. 19 (10), pp. e0309349. Date of Electronic Publication: 2024 Oct 17 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0309349
Abstrakt: Background: Determining the needs to access to rehabilitation structures is essential for developing effective improvement strategies. The objective of this study was to determine the percentage of unmet needs to admission to rehabilitation and their associated factors.
Methods: It is a cross sectional study in the inpatient rehabilitation department Sahloul Hospital of Sousse, tertiary care center including all requests to admission. Patient demographics, diagnoses, admission decisions, and post-decision outcomes were collected for each request.
Results: Of 329 admission requests, 316 were eligible. The mean patient age was 45 years, with a male-to-female ratio of 0.84. Most requests originated from the hospital's outpatient department, neurology, and orthopedics. Among all requests, 40.5% were not admitted. Non-neurological diagnoses and patient residency were associated with non-admission. Patients with non-neurological conditions and those residing outside the city had twice the risk of non-admission. At one month, 63% of non-admitted patients experienced functional decline, and 18% were lost to follow-up.
Conclusion: Unmet needs to admission in rehabilitation structures is high due to lack of beds. This is leading of inequity of access to such important phase of care more. This study highlighted throwing the example of physical and rehabilitation department the gap of needs and the capacity of inpatient rehabilitation facilities. Healthcare policies should prioritize increasing rehabilitation bed availability in all regions of the country.
Competing Interests: no competing interest.
(Copyright: © 2024 Moncer et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje