Chest physiotherapy for the prevention of ventilator-associated pneumonia: A meta-analysis

Recommendations to improve insurance coverage for physiotherapy services in Iran: A multi-criteria decision making approach

“…Preventive physiotherapy interventions can be also an attractive alternative for decision-and policy-makers. In fact, many physiotherapy services have preventive effects, which can put a stop to expensive interventions such as surgeries in future [20,22,48]. Additionally, some physiotherapy interventions if prescribed until the age of 18 years, can be very effective [49,50].…”

“…Therefore, moving towards an insurance mechanism is the inevitable option to nance health care services such as physiotherapy. Even if preventive, curative, and rehabilitative effects of physiotherapy interventions have been so far con rmed by relevant evidence [20][21][22][23], their insurance coverage still low in Iran like many other countries [10]. Nowadays, fragmentation in nancing and provision of physiotherapy services, like other Iranian health sub-systems, is leading to unnecessary duplication.…”

Recommendations to improve the insurance coverage for physiotherapy services in Iran A multi-criteria decision making approach

“…Considering the preventive physiotherapy interventions can be attractive option for decision-and policy-makers. In fact, many physiotherapy services have preventive effects, which can prevent expensive interventions such as surgery in future [17,19,41]. Additionally, some physiotherapy interventions if prescribed until the age of eighteen, can be very effective [42,43].…”

“…Therefore, moving to insurance mechanism is the inevitable option to financing the health care services such as physiotherapy. Although the preventive, curative, and rehabilitative effects of physiotherapy interventions were confirmed by the relevant evidence [17][18][19][20], their insurance coverage still is weak in Iran like many other countries [10]. Nowadays, fragmentation in financing and providing of physiotherapy services, like other Iranian health sub-systems, leads to duplication and unnecessary waste.…”

El fisioterapeuta en la Unidad de Cuidados Intensivos ¿un profesional necesario?

“…En un reciente metaanálisis no se observó una reducción en las neumonías asociadas con la ventilación mecánica mediante técnicas de fisioterapia de tórax, sin embargo, sí hubo una reducción en la mortalidad. 3,4 Según la Asociación Americana de Cuidados Respiratorios, no se recomienda el uso rutinario de técnicas de higiene bronquial en todos los pacientes hospitalizados, sino que su uso dependerá de la condición particular de cada persona, como es el caso de pacientes con hipersecreción bronquial; en éstos, las técnicas de higiene bronquial se pudieran recomendar, o también en patología neuromuscular, en la que el asistente de tos (cough assist) está indicado. 5 Otro dispositivo ampliamente difundido para la prevención de complicaciones durante la hospitalización, sobre todo en pacientes postquirúrgicos, es el inspirómetro de incentivo, el cual no tiene una evidencia sólida para su implementación general.…”