White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 8. The PRM specialty in the healthcare system and society

Kiekens, Carlotte; Cantista, Pedro; Ceravolo, M.G.; Christodoulou, N.; Delarque, A.; Gutenbrunner, C.; Moslavac, Saša; Varela-Donoso, Enrique; Ward, Ab; Zampolini, Mauro; Négrini, Stefano; Antúnes, Francisco; Boldrini, Paolo; Boyer, Françoise; Burn, J. L.; Delargy, Mark; Devečerski, Gordana; Dy, Rt; Foti, C; Giustini, Alessandro; Glaesener, Jj; Hoppe, Kelly; Juocevičius, Alvydas; McElligott, James T.; McNamara, Ann; Nulle, Anda; Oral, Alihan; Popa, Dana Elena; Rapidi, Ca; Rapin, A.; Rimbaut, Steven; Smit, C.Th.; Sunnerhagen, Katharina S.; Takáč, Peter; Valero, Rosa Pulido; Nes, Ilse J. W. van; Votava, J; Winkelmann, Andreas; Yelnik, A.

doi:10.23736/s1973-9087.18.05152-3

Cited by 6 publications

(2 citation statements)

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“…However, patients may have to seek care at higher levels of the healthcare system if rehabilitation services are not available leading to resource burden and increased costs [ 15 ]. Utilization of rehabilitation at primary care settings can be more effective when services are provided nearer to the home and work settings as it allows closer integration with patients’ daily activities [ 15 ] and promotes self-management of identified functioning problems within the patients’ environment [ 16 ]. Continued follow-up at primary care for patients discharged from higher levels of care can facilitate recovery and optimise the effects of acute treatment interventions.…”

Section: Introductionmentioning

confidence: 99%

Bridging the chasm between patients’ needs and current rehabilitation care: perceptions of adults presenting for primary care in the Eastern Cape

Charumbira,

Conradie,

Berner

et al. 2024

BMC Health Serv Res

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Background The need for rehabilitation in low-to-middle income countries (LMICs) is rapidly increasing as more people are living longer with chronic diseases. Primary health care (PHC) is ideally placed to provide the spectrum of care required to meet most of the complex and evolving population's health needs locally. This study aimed to describe the patient journeys of adults attending primary care in the Eastern Cape province of South Africa to understand the factors that affected their access to primary care rehabilitation services (or the lack thereof) and obtain suggestions on how rehabilitation may be enhanced at primary care. Methods A maximum variation sampling approach was used to purposefully select persons with varied chronic health conditions and demographic characteristics to gain diverse perspectives regarding their rehabilitation needs and ways in which the current rehabilitation services at primary care may be enhanced. Data were collected via face-to-face semi-structured interviews between March and June 2022 which were electronically recorded. Inductive thematic analysis of transcribed data was done and coded in Atlas.ti.22®. Results Twenty-five adult patients participated in the study. The patients had different experiences at their local PHC facilities that affected their access to rehabilitation at primary care. The study found that most patients were not able to access rehabilitation at primary care. There were several personal and contextual factors that resulted in the patients having a low perceived need to receive rehabilitation that potentially lowered patients' demand for and utilization of rehabilitation at primary care. Patients suggested increasing rehabilitation workforce at primary care, improving availability of assistive devices, increasing their knowledge regarding rehabilitation, and facilitating socio-economic integration into their communities. Conclusions Patients attending primary care are not guaranteed access to rehabilitation by virtue of having entered the PHC system. It is important to consider the patient perspectives regarding their health needs and suggestions for enhancing care.

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Section: Introductionmentioning

confidence: 99%

Bridging the chasm between patients’ needs and current rehabilitation care: perceptions of adults presenting for primary care in the Eastern Cape

Charumbira,

Conradie,

Berner

et al. 2024

BMC Health Serv Res

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“…In Europe, PRM care is generally organized with a multi-professional team working in an interdisciplinary manner ( 2 – 4 ). PRM physicians are responsible for functional assessment, rehabilitation practice, and primary and secondary prevention in the acute (hospital), post-acute (rehabilitation), and chronic phases ( 2 – 6 ). However, the organization and expertise of PRM care varies between and within European countries.…”

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confidence: 99%

End-of-life decisions and involvement of Physical and Rehabilitation Medicine Physicians in Europe

Osterthun

Sunnerhagen

Stam

et al. 2023

JRM

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Objective: As Physical and Rehabilitation Medicine physicians are experts in functional prognoses of disabling health conditions, the aim of this study was to gain insight into their involvement in end-of-life decisions in patients with neurological or terminal diseases in European countries.Design: Exploratory cross-sectional survey.Subjects: Delegates of the Union of European Medical Specialists, Physical and Rehabilitation Medicine Section.Methods: In July 2020, a self-constructed survey was sent to 82 delegates from 38 European countries, who were asked to answer from the point of view of their country. Topics included the legal status of end-of-life decisions and the involvement of Physical andRehabilitation Medicine physicians in these decisions.Results: Between July 2020 and December 2020, 32 delegates from 28 countries completed the survey (response rate country level of 74%). If legal frameworks allow for these specific end-of-life decisions, involvement of Physical and Rehabilitation Medicine physicians was reported in 2 of 3 countries in euthanasia cases, 10 of 17 countries in non-treatment decision cases, and 13 of 16 countries in cases of intensified symptom management by the administration of drugs using potentially life-shortening doses.Conclusion: Estimated involvement of Physical and Rehabilitation Medicine physicians in end-of-life decisions varied between European countries, even when legal frameworks allow for these decisions. LAY ABSTRACTEnd-of-life considerations may arise after severe disabling health conditions and lead to end-of-life decisions. As Physical and Rehabilitation Medicine physicians are experts in functional prognosis for patients with these health conditions, their expertise could be of value to consider in these decisions. Legal frameworks and attitudes towards end-of-life decisions differ between European countries. However, there is a lack of information on the involvement of Physical and Rehabilitation Medicine physicians in these decisions. Therefore, delegates of Physical and Rehabilitation Medicine physicians in European countries were surveyed on the legal status of end-of-life decisions and the involvement of Physical and Rehabilitation Medicine physicians. The responses of delegates from 28 countries suggested differences in involvement of Physical and Rehabilitation Medicine physicians in end-of-life decisions between European countries, even between countries with a legal status of these end-of-life decisions. In the light of the ageing population and a general tendency toward more liberal attitudes concerning end-of-life decisions in Europe, these findings could be of interest in order to optimize end-of-life care in the coming years.

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Factors that influence the provision of home-based rehabilitation services for people needing rehabilitation: a qualitative evidence synthesis

Vélez

Lugo-Agudelo

Lugo

et al. 2023

Cochrane Database of Systematic Reviews

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White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 8. The PRM specialty in the healthcare system and society

Cited by 6 publications

References 0 publications

Bridging the chasm between patients’ needs and current rehabilitation care: perceptions of adults presenting for primary care in the Eastern Cape

Bridging the chasm between patients’ needs and current rehabilitation care: perceptions of adults presenting for primary care in the Eastern Cape

End-of-life decisions and involvement of Physical and Rehabilitation Medicine Physicians in Europe

Factors that influence the provision of home-based rehabilitation services for people needing rehabilitation: a qualitative evidence synthesis

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