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Barriers and facilitators to access post-stroke rehabilitation services in the first six months of recovery in Brazil.
- Source :
-
Disability & Rehabilitation . Jan2024, p1-7. 7p. 2 Illustrations, 1 Chart. - Publication Year :
- 2024
-
Abstract
- AbstractPurposeMaterials and MethodsResultsConclusion\nImplications for RehabilitationTo identify barriers and facilitators to accessing post-stroke rehabilitation services six months after discharge from the stroke unit of a Brazilian public hospital.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.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.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.Public policies to subsidize health costs, optimize waiting times and scheduling in post-stroke rehabilitation services should be considered to facilitate access to rehabilitation services for post-stroke patients.The involvement of family and friends in the treatment of post-stroke patients should be encouraged.Patients’ motivation and positive expectations can facilitate access to post-stroke rehabilitation services.Public policies to subsidize health costs, optimize waiting times and scheduling in post-stroke rehabilitation services should be considered to facilitate access to rehabilitation services for post-stroke patients.The involvement of family and friends in the treatment of post-stroke patients should be encouraged.Patients’ motivation and positive expectations can facilitate access to post-stroke rehabilitation services. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09638288
- Database :
- Academic Search Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 175175888
- Full Text :
- https://doi.org/10.1080/09638288.2024.2310756