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Considerable gaps and differences in rehabilitation after major lower extremity amputations across regions and municipalities in Denmark – A national survey

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العنوان: Considerable gaps and differences in rehabilitation after major lower extremity amputations across regions and municipalities in Denmark – A national survey
المؤلفون: Madsen, Ulla Riis, Biesbjerg, Christian Bach, Mikkelsen, Tina Broby, Marsaa, Kristoffer, Olsen Zwisler, Ann Dorthe, Vedste Aagaard, Thomas
المصدر: Madsen , U R , Biesbjerg , C B , Mikkelsen , T B , Marsaa , K , Olsen Zwisler , A D & Vedste Aagaard , T 2023 , ' Considerable gaps and differences in rehabilitation after major lower extremity amputations across regions and municipalities in Denmark – A national survey ' , Scandinavian Journal of Caring Sciences , vol. 37 , no. 2 , pp. 595-607 . https://doi.org/10.1111/scs.13144Test
سنة النشر: 2023
المجموعة: University of Southern Denmark: Research Output / Syddansk Universitet
مصطلحات موضوعية: health service research, inequality, lower extremity amputation, palliative care, rehabilitation, Delivery of Health Care, Humans, Denmark, Amputation, Surgical, Cities, Lower Extremity/surgery
الوصف: 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.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
العلاقة: https://portal.findresearcher.sdu.dk/da/publications/74fc4af6-288b-4755-a9c7-f079cd7d36c4Test
DOI: 10.1111/scs.13144
الإتاحة: https://doi.org/10.1111/scs.13144Test
https://portal.findresearcher.sdu.dk/da/publications/74fc4af6-288b-4755-a9c7-f079cd7d36c4Test
https://findresearcher.sdu.dk/ws/files/221119681/Scandinavian_Caring_Sciences_2023_Madsen_Considerable_gaps_and_differences_in_rehabilitation_after_major_lower.pdfTest
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.160B9F6C
قاعدة البيانات: BASE
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