scholarly journals A national survey of community rehabilitation service provision for people with long Covid in Scotland

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1416
Author(s):  
Edward Duncan ◽  
Kay Cooper ◽  
Julie Cowie ◽  
Lyndsay Alexander ◽  
Jacqui Morris ◽  
...  
Keyword(s):  
National Survey ◽  
Service Provision ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Face To Face ◽  
Electronic Survey ◽  
Know How ◽  
Community Rehabilitation ◽  
Almost All ◽  
Health Boards

Background: Over 50 million cases of COVID-19 have been confirmed globally as of November 2020. Evidence is rapidly emerging on the epidemiology of COVID-19, and its impact on individuals and potential burden on health services and society. Between 10–35% of people with COVID-19 may experience post-acute long Covid. This currently equates to between 8,129 and 28,453 people in Scotland. Some of these people will require rehabilitation to support their recovery. Currently, we do not know how to optimally configure community rehabilitation services for people with long Covid. Methods: This national survey aimed to provide a detailed description of current community rehabilitation provision for people with long Covid in Scotland. We developed, piloted, and conducted a national electronic survey of current community rehabilitation service provision for people presenting with long Covid symptomatology. Our sample were the Allied Health Professions Directors of all 14 territorial NHS Health Boards in Scotland. Fixed response and narrative data were analysed descriptively. Results: Responses were received from all respondents (14/14), enabling a national picture to be gained. Almost all Health Boards (13/14) currently deliver rehabilitation for people with long Covid within pre-existing services. Fatigue (11/14) and respiratory conditions (9/14) were the two most common presenting problems of patients. Most long Covid community rehabilitation services are delivered through a combination of face-to-face and digital contact (13/14). Conclusions: Community rehabilitation for people with long Covid is an emerging reality. This survey provides a national picture of current community rehabilitation for people with long Covid. We do not know how community rehabilitation can be optimally delivered for this population. This is vital as community rehabilitation services were already under pressure prior to the emergence of COVID-19. Further research is urgently required to investigate the implementation, outcomes and cost-effectiveness of differing models of community rehabilitation for this patient population.

scholarly journals A national survey of community rehabilitation service provision for people with long Covid in Scotland

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1416
Author(s):  
Edward Duncan ◽  
Kay Cooper ◽  
Julie Cowie ◽  
Lyndsay Alexander ◽  
Jacqui Morris ◽  
...  
Keyword(s):  
National Survey ◽  
Service Provision ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Face To Face ◽  
Electronic Survey ◽  
Know How ◽  
Community Rehabilitation ◽  
Almost All ◽  
Health Boards

Background: Over 50 million cases of COVID-19 have been confirmed globally as of November 2020. Evidence is rapidly emerging on the epidemiology of COVID-19, and its impact on individuals and potential burden on health services and society. Between 10–35% of people with COVID-19 may experience post-acute long Covid. This currently equates to between 8,129 and 28,453 people in Scotland. Some of these people will require rehabilitation to support their recovery. Currently, we do not know how to optimally configure community rehabilitation services for people with long Covid. Methods: This national survey aimed to provide a detailed description of current community rehabilitation provision for people with long Covid in Scotland. We developed, piloted, and conducted a national electronic survey of current community rehabilitation service provision for people presenting with long Covid symptomatology. Our sample were the Allied Health Professions Directors of all 14 territorial NHS Health Boards in Scotland. Fixed response and narrative data were analysed descriptively. Results: Responses were received from all respondents (14/14), enabling a national picture to be gained. Almost all Health Boards (13/14) currently deliver rehabilitation for people with long Covid within pre-existing services. Fatigue (11/14) and respiratory conditions (9/14) were the two most common presenting problems of patients. Most long Covid community rehabilitation services are delivered through a combination of face-to-face and digital contact (13/14). Conclusions: Community rehabilitation for people with long Covid is an emerging reality. This survey provides a national picture of current community rehabilitation for people with long Covid. We do not know how community rehabilitation can be optimally delivered for this population. This is vital as community rehabilitation services were already under pressure prior to the emergence of COVID-19. Further research is urgently required to investigate the implementation, outcomes and cost-effectiveness of differing models of community rehabilitation for this patient population.

Mental health rehabilitation services in Ireland: vision and reality

2011 ◽  
Vol 28 (2) ◽  
pp. 69-75
Author(s):  
Atif Ijaz ◽  
Helen Killaspy ◽  
Frank Holloway ◽  
Fiona Keogh ◽  
Ena Lavelle
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
National Survey ◽  
Service Provision ◽  
Rehabilitation Services ◽  
Assertive Outreach ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation ◽  
Specialist Rehabilitation

AbstractObjectives: The Irish national mental health policy document, A Vision for Change, included recommendations to develop specialist rehabilitation mental health services. This survey was conducted as part of a multicentre study to investigate current provision of mental health rehabilitation services in Ireland and factors associated with better clinical outcomes for users of these services. The aim was to carry out a detailed national survey of specialist rehabilitation services in order to describe current service provision.Method: A structured questionnaire was sent to consultant rehabilitation psychiatrists in all mental health catchment areas of Ireland that had any rehabilitation services to gather data on various aspects of service provision.Results: Twenty-six of the 31 mental health areas of Ireland had some form of rehabilitation service. Sixteen teams working in 15 of these areas fulfilled A Vision for Change criteria to be defined as specialist rehabilitation services and all 16 responded to the survey. The overall response rate was 73% (19/26). Most services lacked a full multidisciplinary team. Only one service had an assertive outreach team with acceptable fidelity to the assertive outreach model. Urban services were less well resourced than rural services.Conclusion: This is the first national survey to describe the provision of mental health rehabilitation services in Ireland. Although there has been an increase in the provision of consultant-led specialist rehabilitation services nationally, these services lack multidisciplinary input. There also appears to be a lack of planned provision of the facilities required to provide comprehensive rehabilitation services with unequal distribution of resources between urban and rural areas. This has potential cost implications for local mental health services in relation to ‘out of area treatment’ placements and perhaps more importantly to the overall quality of patient care.

scholarly journals A Cross-sectional Survey of Rehabilitation Service Provision for Children with Brain Injury in Selangor, Malaysia

2018 ◽  
Vol 1 (2) ◽  
pp. 45-58
Author(s):  
Ee Lin Tay ◽  
Chee Piau Wong
Keyword(s):  
Brain Injury ◽  
Rural Areas ◽  
Service Provision ◽  
Urban Areas ◽  
Urban Poor ◽  
Service Providers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Unequal Distribution ◽  
Persons With Disabilities

Purpose:  Rehabilitation services in Malaysia are provided by both governmental and non-governmental agencies but there are challenges, such as the lack of integration between agencies, and accessibility barriers to services especially for the population of urban poor and people in the rural areas. With the help of a survey, this project aimed to gain a better understanding of rehabilitation services provided for children with brain injury within the state of Selangor and Federal Territories of Kuala Lumpur and Putrajaya.Method:  A list of 205 organisations that provide rehabilitation services for children with neurological injuries was compiled. The researchers attempted to verify the services by visiting the facilities or via telephone or email communication if visits were not possible.Results: The researchers were able to verify 83% of the organisations identified. There are 40 hospitals and 17 service providers for acute and / or chronic physical rehabilitation services for persons with disabilities of all ages, including children.Conclusion: Findings showed the unequal distribution of rehabilitation service provision by districts. Service providers were concentrated in the urban areas. Setting up new healthcare facilities is one of the solutions but the costs for development, construction, and manpower could be high. An alternative solution is proposed, namely, the use of a home-based virtual rehabilitation programme.

scholarly journals Developing vocational rehabilitation services for people with long-term neurological conditions: Identifying facilitators and barriers to service provision

2019 ◽  
Vol 82 (6) ◽  
pp. 337-347 ◽  
Author(s):  
Kate Hayward ◽  
Bilal A Mateen ◽  
E Diane Playford ◽  
Gail Eva
Keyword(s):  
Service Delivery ◽  
Vocational Rehabilitation ◽  
Conceptual Model ◽  
Service Provision ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Vocational Rehabilitation Services ◽  
Vocational Rehabilitation Service ◽  
Neurological Conditions

Introduction This study aimed to understand existing vocational rehabilitation service provision in one locality in London (population 3.74 million), identify any gaps and explore reasons for this, to support service development. Method Using soft systems methodology to guide the research process, semi-structured interviews were completed with nine participants, who were clinicians and managers providing vocational rehabilitation within a National Health Service context. Data were analysed thematically to build a ‘rich picture’ and develop a conceptual model of vocational rehabilitation service delivery. Findings were then ratified with participants at an engagement event. Results The findings indicate a spectrum of vocational rehabilitation service provision for long-term neurological conditions with differing levels of funding in place. Vocational rehabilitation often takes place ‘under the radar’ and therefore the true vocational rehabilitation needs of this population, and the extent of service provision, is not known. There is inconsistency of understanding across the services as to what constitutes vocational rehabilitation and outcomes are not routinely measured. Conclusion For vocational rehabilitation services to develop they require appropriate funding, driven by government policy to commissioners. Clear definitions of vocational rehabilitation, collecting and sharing outcome data and effective communication across services are needed at a local level. This is expressed in a conceptual model of vocational rehabilitation service delivery.

Demographic Characteristics and Functional Levels of Patients With Fragility Fractures Who Accept Tele-rehabilitation as an Alternative to Face-to-face Home Rehabilitation

2021 ◽  
pp. 108482232098331
Author(s):  
Claire Morris ◽  
Maayken Van den Berg ◽  
Chris Barr ◽  
Stacey George ◽  
Maria Crotty
Keyword(s):  
Mode Of Delivery ◽  
Fragility Fractures ◽  
Demographic Characteristics ◽  
Rehabilitation Service ◽  
Cognitive Changes ◽  
Face To Face ◽  
Patient Reported ◽  
Cognitive Problems ◽  
Recent Falls ◽  
Functional Gains

There is a gap in the evidence on telerehabilitation (TR) for people with fragility fractures. It is unclear whether this group with recent falls who are often frail with cognitive changes will accept tele-rehabilitation and functional gains can be achieved using this approach. Prospective observational study of consecutive patients admitted with femoral or pelvic fracture to a hospital-based home rehabilitation service (HRS) between January and November 2017. Using tablets, multidisciplinary rehabilitation was provided via videoconferencing and use of exercise apps. Patients chose a face-to-face visit or TR. Information on demographic characteristics, functional levels, the total number of therapy sessions, TR episodes, reasons for non-acceptance of TR, and patient-reported experience using TR was collected. Fifty-two patients with hip and pelvic fractures were admitted to the HRS and 35 (67.3%) received TR. Patients who did not accept TR were older, frailer and more likely to be female than those who received TR. Of the 17 who did not receive TR, 6 were deemed unsuitable by staff due to hearing, vision or cognitive problems and 3 refused. The TR group achieved acceptable functional gains. In the TR group on average, participants had 13.63 (± 7.29) home visits however they only elected to have 3.43 (± 2.48) sessions delivered via TR. TR was acceptable to a subset of hip fracture patients but face-to-face was the preferred mode of delivery. More research is needed to understand patients’ preferences and beliefs, and the influence of clinician attitudes on uptake of TR.

Asking the Stakeholders: Perspectives of Individuals With Aphasia, Their Family Members, and Physicians Regarding Communication in Medical Interactions

2015 ◽  
Vol 24 (3) ◽  
pp. 341-357 ◽  
Author(s):  
Michael Burns ◽  
Carolyn Baylor ◽  
Brian J. Dudgeon ◽  
Helene Starks ◽  
Kathryn Yorkston
Keyword(s):  
Family Members ◽  
Qualitative Description ◽  
Future Directions ◽  
Face To Face ◽  
Know How ◽  
Speech Language Pathologist ◽  
Patient Interviews ◽  
Semistructured Interviews ◽  
The Family ◽  
Practicing Physicians

PurposeThe purpose of this study was to explore the experiences of patients with aphasia, their family members, and physicians related to communication during medical interactions.MethodFace-to-face, semistructured interviews were conducted with 18 participants—6 patients with aphasia, 6 family members involved in patient care, and 6 practicing physicians. A qualitative description approach was used to collect and summarize narratives from participants' perspectives and experiences. Participants were asked about experiences with communication during medical interactions in which the family member accompanied the patient. Interviews were audio- and/or video-recorded, transcribed, and then coded to identify main themes.ResultsPatients and family members generally described their communication experiences as positive, yet all participants discussed challenges and frustrations. Three themes emerged: (a) patients and family members work as a team, (b) patients and family members want physicians to “just try” to communicate with the patient, and (c) physicians want to interact with patients but may not know how.ConclusionsParticipants discussed the need for successful accommodation, or changing how one communicates, to help facilitate the patients' increased understanding and ability to express themselves. Over- and underaccommodation with communication were commonly reported as problems. Speech-language pathologists have a role to play in helping to improve communication during medical interactions. Implications for current speech-language pathologist practice and future directions of research are discussed.

scholarly journals Teledermatology in Times of COVID-19 Confinement: Comparing Patients’ and Physicians’ Satisfaction by the Standardized Brest Teledermatology Questionnaire

Dermatology ◽  
2021 ◽  
pp. 1-6
Author(s):  
Joachim W. Fluhr ◽  
Annie Gueguen ◽  
Delphine Legoupil ◽  
Emilie Brenaut ◽  
Claire Abasq ◽  
...  
Keyword(s):  
Main Question ◽  
Chronic Patients ◽  
Dermatology Department ◽  
Global Satisfaction ◽  
Technical Parameters ◽  
Face To Face ◽  
Almost All ◽  
Outpatient Settings

The French government imposed the first COVID-19 pandemic lockdown from March 17 until May 11, 2020. Only emergency cases and teledermatology (TD) were allowed in outpatient settings. A standardized questionnaire was developed to compare the satisfaction level of patients and their treating physicians. Our main question was whether the patients would perceive TD as a valid alternative for direct physical face-to-face consultation. Eighty-two patients and their 4 treating dermatologists from one dermatology department participated in the study (43 females, 39 males) with a mean age of 46.6 years (SD ±23.9). The reason for TD was a chronic disease in the majority (87.8%), and mainly as a follow-up (96.3%). Regarding satisfaction, almost all categories rated around 9 on a 0–10 verbal analogue scale. The same level of global satisfaction could be seen between the patients and the physicians as well as for the quality of the patient-physician relation and whether all questions could be addressed during the TC. Physicians showed significantly higher scores than patients only for the category of “length” of the consultation. Gender, age, as well as distance between the clinic and home of the patient were not influencing factors for satisfaction. Regarding the technical parameters, the evaluation was mostly comparable for patients and physicians, but overall lower than the relational satisfaction parameters, especially for image quality. Patients were significantly more motivated to continue the TD after the lockdown than their treating dermatologists. We see an interest for implementing TD in specialized centers with chronic patients coming from remote places for regular follow-ups. TD cannot replace in-person patient-physician interaction, but was helpful during the lockdown. As a result, TD might become part of dermatology training to prepare for future lockdown situations.

Development of computational thinking with on-line practices in time of pandemic: a possible road?

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Gilson Pereira dos Santos Júnior ◽  
Simone Lucena
Keyword(s):  
High School ◽  
Online Education ◽  
Educational Institution ◽  
Computational Thinking ◽  
Digital Technologies ◽  
Daily Lives ◽  
Face To Face ◽  
Know How ◽  
Human Ability ◽  
On Line

We live in a society in which mobile and digital technologies are increasingly present in our daily lives and we cannot limit ourselves to knowing how to use them. It is important to know how to adapt them, personalize them and program them, if necessary, to solve our problems. Computational thinking is understood as the human ability to teach, humans or machines, to solve problems with the fundamentals of computing. Its development has gained space in education, formal and non-formal, through face-to-face practices. With the pandemic, the challenge arises to develop this skill with young people from high school in a public educational institution through online practices. In this article, we discuss the didactic design, based on the principles of online education, created for the development of computational thinking with online practices. The preliminary results indicate the feasibility of developing computational thinking from the perspective of online education.

OBSTACLES TO INNOVATION FOR SMEs: EVIDENCE FROM GERMANY

2017 ◽  
Vol 21 (03) ◽  
pp. 1750030 ◽  
Author(s):  
NATALIA STROBEL ◽  
JAN KRATZER
Keyword(s):  
Theoretical Framework ◽  
Complex Task ◽  
Competitive Performance ◽  
Structured Interviews ◽  
Innovative Performance ◽  
Face To Face ◽  
Know How ◽  
Open Questions

Achieving effective innovation is a complex task and during this process, firms [especially small and medium sized enterprises (SMEs)] often face obstacles. However, research into obstacles to innovation focusing on SMEs is very scarce. In this study, we propose a theoretical framework for describing these obstacles to innovation and investigate their influence on the innovative performance of SMEs. Data were collected in 2013 through face-to-face interviews with executives of 49 technology SMEs from Germany. The semi-structured interviews were designed on the basis of scales for measuring innovativeness, financial/competitive performance and obstacles to innovation, next to purely open questions. We find that the internal obstacles, lack of know-how, capacity overloading, unclear roles and tasks as well as the external obstacle governmental bureaucracy negatively influence innovative performance of SMEs. However, in contrast to prior findings, this study shows that cooperation ties of firms might also negatively influence the innovative performance.

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