Rehabilitation Registration Systems: Current Recommendations and Challenges

Abstract

Introduction: In recent decades, following the upward trend of aging, one out of three people in the world need rehabilitation services during the period of illness or injury. Considering the long-term complications and high costs of treatment, the need to follow up and review the evidence to find the best care programs and extensive planning in this field seems mandatory. Registry systems (registration) in this area can provide the necessary evidence for strategic decisions in this field. Of course, launching and developing these systems comes with challenges. Therefore, the purpose of this comprehensive literature review is to examine the challenges and benefits of developing a rehabilitation registration system.Materials and Method: A systematic review, in studies published in English, without time limit and by searching for keywords in the keywords, title and abstract of reliable scientific databases Web of Science, Scopus, PubMed and Science Direct, as well as searching the title of studies in the database Cochrane data was accessed on March 31, 2021. Studies that were a possible answer to the researched question based on the title and content were examined. A total of 1924 related studies were identified; And finally, 32 qualified articles were included in this review.Results: One of the most important challenges investigated was the limitation of rehabilitation comprehensive registration systems. Other challenges include the lack of support for ensuring the quality of registration data, insufficient funds for investment, privacy and data security, the unclear purpose of registration system development, access to hardware infrastructure, lack of binding laws and regulations related to registration systems, lack of access to sufficient information. To implement information registration systems, continuous monitoring and holding training courses.Conclusion: The most important challenge investigated was that currently the health care and rehabilitation registration systems around the world are focused on single diseases (single discipline rehabilitation), which does not meet the needs of patients due to the multifactorial nature of rehabilitation services and chronic diseases. Therefore, it seems that the connection between the data registration systems with the help of a comprehensive guideline or model or the creation of a national integrated central database in the form of integration with other health information systems and based on electronic health records will be very efficient.

The effect of telerehabilitation on improving the physical activity of patients with osteoarthritis: A systematic review

“…On the other hand, telerehabilitation is a cost-effective, safe, efficient, and feasible approach. [ 25 26 27 28 29 30 32 39 40 41 42 43 44 45 46 47 48 49 ] The type of telerehabilitation approach was simultaneous in all interventions and did not show a difference in performance or physical improvement.…”

A Comparative Study of Minimum Data Set of Speech Therapy: A Systematic Literature Review

“…Undoubtedly, the provision of integrated rehabilitation services requires strong infrastructure, including the minimum set and the ideal set of integrated, valid, and comprehensive data in each of the rehabilitation sub-disciplines. This infrastructure cannot be achieved except by putting together the pieces of the puzzle in an integrated manner, by bringing together similar valid infrastructures in other countries, conducting review studies to collect all available data, and using the opinions and suggestions of experts in each field to finally reach the lofty goal of evidence-based rehabilitation [19][20][21].…”

“…Several recent studies have addressed the design of different MDSs or speech therapy information systems, including remote speech therapy based on different MDSs [19][20][21][22][23][24][25][26][27][28][29][30][31]. However, evidence-based speech therapy and the basic need for an integrated system in the initial step require the unification of basic infrastructure, including MDS.…”

Knowledge and Use of International Classification of Function, Disability and Health Among Rehabilitation Specialists of Mashhad University of Medical Sciences: A Cross-sectional Study

“…In this regard, previous studies have also proven the effectiveness of technology-based education due to comprehensive access and cost-effectiveness [16][17][18][19][20][21][22][23][24][25][26][27][28]. As a result, due to the lack of theoretical and practical knowledge in the field of applying ICF for educational, research, and clinical purposes, it is suggested that future studies be conducted on educational policies, providing educational programs to specialists, and then evaluating their knowledge improvement to ensure the provision of correct and correct education.…”