The difficulties inherent in demonstrating the effectiveness of an intervention that is as all-inclusive and poorly defined as neurorehabilitation, especially in a condition as unpredictable and variable as Multiple Sclerosis (MS), are not to be underestimated. They require strict adherence to rigorous methodology and, in particular, the consistent use of a range of clinically appropriate and s...

An Action Research methodology was used to revise the St George Mental Health Rehabilitation Service. A review committee found several limitations in the existing system, and a new model to address these problems was devised. During an 18-month period, the new model was implemented. Obstacles to change, such as staff resistance, were not systematically encountered due to the method of change us...

Methods A service review of adult patients admitted to the LITU. Patient demographics, complexity, time until active rehabilitation and LOS data was recorded. Active rehabilitation was defined as: active bed exercises and/or active transfer to a chair. Data was collected by the physiotherapy team on a daily basis. The data was evaluated using simple descriptive statistics (non-parametric) and S...

Ipswich Cardiac Rehabilitation Service, West Moreton Hospital and Health Service, Ipswich QLD 4305 Sydney Nursing School, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006 The George Institute for Global Health, Camperdown, NSW 2050 School of Nursing and Midwifery, Faculty of Health Sciences, Flinders University, Adelaide South Australia 5000 Physiotherapy Department, Austin He...

Background Vocational rehabilitation is a multi-professional service provided to individuals of working age with health-related impairments, limitations or restrictions within work functioning. The primary aim of such a service is to optimise work participation in spite of illness or activity limitations1. In occupational therapy, concern with functional ability and purposeful activity are uniq...

BACKGROUND Human immunodeficiency virus continues to challenge health care professionals even after the rollout of antiretroviral therapy. South Africa, among the worst affected countries in the world by the pandemic, has seen the effect of people living longer but facing disabling effects of both the virus and the associated impairments of the antiretroviral therapy. Rehabilitation within the ...

The purpose of this work is to describe the structure and characterize the services offered for rehabilitation of elder people, victims of accidents and violence, based on the main public policies of health for this population in Brazil. Following the principles of the triangulation method, a 27 question questionnaire was applied to 19 rehabilitation services (five in Manaus, seven in Recife, t...

BACKGROUND Good governance may result in strengthened performance of a health system. Coherent policies are essential for good health system governance. The overall aim of this research is to provide the best available scientific evidence on principles of good policy related leadership and governance of health related rehabilitation services in less resourced settings. This research was also co...

The initiation of combat in Iraq and Afghanistan has resulted in a new cohort of active-duty service members and veterans seeking rehabilitation care through the U.S. Department of Veterans Affairs (VA). Service members injured in combat most often sustain multiple injuries (polytrauma) and require a unique service delivery model to meet their needs. The VA recognized this need and responded wi...

New commissioning arrangements in the NHS require the identification of 'complex specialised' (CS) services, as distinct from more 'general' or 'district specialist' (DS) rehabilitation services, to determine differential cost-tariffs. In this cross-sectional postal survey representing 49 inpatient neurological rehabilitation services in the UK, no clear service characteristics that distinguish...