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Gutierrez-Arias R, Neculhueque-Zapata X, Valenzuela-Suazo R, Oliveros MJ, Morales C, Vásquez L, Jalil Y, Marzuca-Nassr GN, Inostroza Quiroz JL, Fuentes-Aspe R, Solano R, Salgado-Maldonado G, Aguilera-Eguía R, Águila-Villanueva C, Garcés-Burgos C, Seron P. Assessment of activities and participation of people by rehabilitation-focused clinical registries: a systematic scoping review. Eur J Phys Rehabil Med 2023; 59:640-652. [PMID: 37721783 PMCID: PMC10664814 DOI: 10.23736/s1973-9087.23.07895-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 07/11/2023] [Accepted: 09/04/2023] [Indexed: 09/19/2023]
Abstract
INTRODUCTION Rehabilitation is considered a key intervention in health care. Clinical registries, defined as an organized system that uses observational methods to collect information to assess specific outcomes in a defined population, can contribute to assessing the impact of the rehabilitation intervention. This review aims to identify and describe rehabilitation-specific registry systems with an emphasis on identifying outcomes that enable the assessment of vital areas and activities of daily living. EVIDENCE ACQUISITION A systematic scoping review was conducted. A systematic search was conducted up to August 2022 in MEDLINE/PubMed, Embase, Cochrane Library, Epistemonikos, and other search resources. Studies related to rehabilitation registries presented data on people with health problems that could limit their functioning were selected. The inclusion of studies/clinical registries was not limited by methodological design, year of publication, country, or language. The unit of analysis was rehabilitation registries. The measurement instruments used to assess the outcomes were explored to estimate the domain assessed from the vital areas related to functioning and disability as described by the International Classification of Functioning, Disability and Health (ICF). The vital areas were classified according to activities of daily living (ADLs). EVIDENCE SYNTHESIS Seventy-one registries in rehabilitation were identified. The registries included a median of 3 (IQR 2-5) assessment instruments designed to assess the impact of different rehabilitation programs. In total, 137 different assessment scales or instruments were identified. Each rehabilitation registry assessed 6 (IQR 2-8) domains of the ICF, and 15.4% of registries assessed all domains. The most assessed domain was "Mobility" (89.7%), and the least assessed was "General Tasks and Demands" (25.6%). In addition, 92.3% of rehabilitation registries assessed basic ADLs, 76.9% advanced ADLs, and 71.8% instrumental ADLs. CONCLUSIONS Although clinical registries do not claim to directly assess the impact of rehabilitation programs on people's functioning according to the ICF framework, it was identified that a low percentage of them assessed the nine vital areas through different outcome assessment instruments. However, most rehabilitation registries directly or indirectly assess some basic, instrumental, and advanced ADLs. The findings of this review highlight the need to improve the design of clinical registries focused on assessing the impact of rehabilitation programs to assess people in all areas of their lives.
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Affiliation(s)
- Ruvistay Gutierrez-Arias
- Department of Support in Integral Cardiopulmonary Rehabilitation, National Thorax Institute, Santiago, Chile
- Exercise and Rehabilitation Sciences Institute, Faculty of Rehabilitation Sciences, Andres Bello University, Santiago, Chile
- INTRehab Research Group, Instituto Nacional del Tórax, Santiago, Chile
| | - Ximena Neculhueque-Zapata
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Raúl Valenzuela-Suazo
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Maria-Jose Oliveros
- Department of Rehabilitation Sciences, Faculty of Medicine, University of La Frontera, Temuco, Chile
- CIGES Center of Excellence, University of La Frontera, Temuco, Chile
| | - Camilo Morales
- Department of Therapeutical Protocols, Faculty of Health Sciences, Catholic University of Temuco, Temuco, Chile
| | - Luis Vásquez
- Department of Rehabilitation Sciences, Faculty of Medicine, University of La Frontera, Temuco, Chile
| | - Yorschua Jalil
- Department of Intensive Care Medicine, Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Chile
- Department of Kinesiology, Pontifical Catholic University of Chile, Santiago, Chile
| | - Gabriel N Marzuca-Nassr
- Department of Rehabilitation Sciences, Faculty of Medicine, University of La Frontera, Temuco, Chile
| | | | - Rocío Fuentes-Aspe
- Department of Rehabilitation Sciences, Faculty of Medicine, University of La Frontera, Temuco, Chile
- CIGES Center of Excellence, University of La Frontera, Temuco, Chile
| | - Ricardo Solano
- Department of Rehabilitation Sciences, Faculty of Medicine, University of La Frontera, Temuco, Chile
| | - Gabriel Salgado-Maldonado
- Department of Support in Integral Cardiopulmonary Rehabilitation, National Thorax Institute, Santiago, Chile
- INTRehab Research Group, Instituto Nacional del Tórax, Santiago, Chile
- Laboratory of Cognitive Neurosciences (LANNEC), Clinic of Memory and Neuropsychiatry (CMYN), University of Chile, Santiago, Chile
- Millennium Nucleus to Improve the Mental Health of Adolescents and Youths, Imhay, Santiago, Chile
| | - Raúl Aguilera-Eguía
- Department of Public Health, Faculty of Medicine, Catholic University of Santísima Concepción, Concepción, Chile
| | - Camilo Águila-Villanueva
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Carolina Garcés-Burgos
- Department of Rehabilitation Sciences, Faculty of Medicine, University of La Frontera, Temuco, Chile
| | - Pamela Seron
- Department of Rehabilitation Sciences, Faculty of Medicine, University of La Frontera, Temuco, Chile -
- CIGES Center of Excellence, University of La Frontera, Temuco, Chile
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Al-Sharif GA, Almulla AA, AlMerashi E, Alqutami R, Almoosa M, Hegazi MZ, Otaki F, Ho SB. Telehealth to the Rescue During COVID-19: A Convergent Mixed Methods Study Investigating Patients' Perception. Front Public Health 2021; 9:730647. [PMID: 34917570 PMCID: PMC8669510 DOI: 10.3389/fpubh.2021.730647] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 10/27/2021] [Indexed: 11/13/2022] Open
Abstract
Background: The onset of the pandemic necessitated abrupt transition to telehealth consultations. Although there is a few tools that gauge the patients' perception about their experiences, none of them are contextualized to an emergency in the Middle East and North Africa region. Accordingly, this study aims at developing and validating a tool to address this gap, and deploying it to assess the patients' perception of telehealth services during COVID-19 in Dubai, United Arab Emirates (UAE). Methods: A convergent mixed methods design was adapted. A random selection of 100 patients from Dubai, UAE were invited to participate. Qualitative and quantitative datasets were collected using a tailor-made survey. The qualitative data, collected through open-ended questions, was analyzed using multi-staged thematic analysis. As for the quantitative data, it captured the patients' extent of satisfaction, and was assessed using SPSS (with a series of descriptive and inferential analyses). The qualitative and quantitative findings were then merged via joint display analysis. Results: Out of the 100 patients that were randomly selected, 94 patients participated in this study. The reliability score of Cronbach's Alpha for the instrument was 98.9%. The percentage of the total average of satisfaction was 80.67%. The Principal Component Analysis showed that 88.1% of the variance can be explained by the instrument (p < 0.001). The qualitative data analysis expanded upon the quantitative findings enabling a better understanding of the patients' perception. Three themes, revolving around the quality of the patient telehealth experiences, surfaced: "Factors that worked to the benefit of the patients," "Factors that the patients were not in favor of," and "Opportunities for improvements as perceived by the patients." Discussion: This study introduced a novel patient satisfaction with telehealth consultation survey contextualized to the COVID-19 times in Dubai, UAE. The participants were quite satisfied with the quality of their experience, however they suggested areas for improvement. Regional healthcare decision-makers can leverage the identified advantages and opportunities for improvement of telehealth. This will enable making informed decisions regarding the continuity of telehealth irrespective of how matters unfold in relation to the pandemic. It will also better prepare the healthcare sector for potential resurgence(s) of COVID-19 and/or the occurrence of other similar emergencies.
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Affiliation(s)
- Ghadah A. Al-Sharif
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Alia A. Almulla
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Eman AlMerashi
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Reem Alqutami
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Mohammad Almoosa
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Mona Zakaria Hegazi
- Department of Family Medicine, Mediclinic City Hospital, Dubai, United Arab Emirates
| | - Farah Otaki
- Strategy and Institutional Excellence, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
| | - Samuel B. Ho
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
- Department of Medicine, Mediclinic City Hospital, Dubai, United Arab Emirates
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Sun J, Luo Q. Research on Application of Health Medical Information Science Data Sharing Standard System in Sports Rehabilitation. JOURNAL OF MEDICAL IMAGING AND HEALTH INFORMATICS 2021. [DOI: 10.1166/jmihi.2021.3352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The development of medical information technology has rapidly promoted the development of medical information technology towards intelligence. Health medical data provides basic data resource protection for intelligent medical services and smart medical services. This article abstracts
the typical models of domestic and international health medical information management services, and provides theoretical basis and practical reference for the building of an evaluation index system for health management service capabilities. An system for health management service capabilities
under a data sharing standard system was constructed, and the status and linkage of health management services were investigated and comprehensively evaluated to provide an index system and empirical data for evaluating hospital health management service capabilities. Finally, analyze the
advantages and disadvantages of health management services under the medical consortium framework, propose countermeasures to improve the health management service system, provide decision-making references for units to improve their health management service capabilities, optimize health
management service models, and formulate health management services for relevant government departments Provisional policies to promote the implementation of health management.
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Affiliation(s)
- Jun Sun
- School of Physical Education, Central China Normal University, Wuhan, 430079, China
| | - Qiulan Luo
- School of Physical Education, Central China Normal University, Wuhan, 430079, China
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