Considerable gaps and differences in rehabilitation after major lower extremity amputations across regions and municipalities in Denmark – A national survey.
Introduction: Equal access to healthcare is a fundamental principle in the fully tax‐financed Danish healthcare system. This study reveals whether this system lives up to the principle of equal access when it comes to the rehabilitation of patients who have major lower extremity amputations. Methods...
| Publicado en: | Scandinavian Journal of Caring Sciences Vol. 37; no. 2; pp. 595 - 608 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163765628&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163765628 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02839318 BD4 jtl: Scandinavian Journal of Caring Sciences issn: 02839318 maglogo: Y pubinfo: dt: Jun2023 vid: 37 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 163765628 161614116 163765628 163765628 10.1111/scs.13144 163765628 ppf: 595 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Considerable gaps and differences in rehabilitation after major lower extremity amputations across regions and municipalities in Denmark – A national survey. aug: au: Madsen, Ulla Riis Biesbjerg, Christian Bach Mikkelsen, Tina Broby Marsaa, Kristoffer Olsen Zwisler, Ann‐Dorthe Vedste Aagaard, Thomas affil: Department of Orthopedic Surgery, Holbaek Hospital, Holbaek, Denmark sug: subj: Lower Extremity Surgery Amputation Rehabilitation Healthcare Disparities Health Services Accessibility Human Denmark Descriptive Statistics Health Services Research Funding Source ab: Introduction: Equal access to healthcare is a fundamental principle in the fully tax‐financed Danish healthcare system. This study reveals whether this system lives up to the principle of equal access when it comes to the rehabilitation of patients who have major lower extremity amputations. Methods: With the aim of exploring possible inequality in rehabilitation for patients having major lower extremity amputation in Denmark, a nationwide electronic survey was conducted in the autumn of 2020, which included all hospitals and municipalities in Denmark. Results: Eighty six percent of hospitals (n = 19) and 97% (n = 95) of municipalities responded. Of the 32% (n = 6) of hospitals and 78% (n = 74) of municipalities that provided prosthesis rehabilitation, the majority (hospitals 50% /municipalities 91%) provided prostheses for <10 patients in 2019, and 36% reported having competencies at only a general level among physiotherapists performing prosthetic training. Psychosocial rehabilitation modalities were lacking overall. Conclusions: This national study documents pronounced geographic inequality in access to qualified rehabilitation services for the relatively few patients undergoing lower extremity amputations in Denmark. The decentralised organisation of amputation rehabilitation makes it difficult to build and maintain specialist competencies among healthcare professionals. Inconsistent availability of psychosocial rehabilitation modalities of all kinds found in this study points to a need for action particularly among patients not in prosthetic rehabilitation where palliative needs should also be considered. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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