Determinants of access to rehabilitation professionals by individuals with stroke in the first six months after hospital discharge in Brazil: a study based on the Andersen model

determinants of access to rehabilitation professionals after stroke in middle-income countries, where the burden of this disease is higher, are little known. To identify the determinants of access to rehabilitation professionals by individuals with stroke at one, three, and six months after hospital...

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Bibliographic Details
Published in:Topics in stroke rehabilitation 2024-09, Vol.31 (6), p.615-624
Main Authors: Magalhães, Jordana P, Faria-Fortini, Iza, Menezes, Kênia Kp, Lara, Isadora A, Batista, Ludmilla R, Sant'anna, Romeu, Faria, Christina Dcm
Format: Article
Language:English
Subjects:
Adult
Aged
Brazil - epidemiology
Female
Health Services Accessibility - statistics & numerical data
Humans
Longitudinal Studies
Male
Middle Aged
Patient Discharge - statistics & numerical data
Prospective Studies
Socioeconomic Factors
Stroke
Stroke Rehabilitation - statistics & numerical data
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Summary:determinants of access to rehabilitation professionals after stroke in middle-income countries, where the burden of this disease is higher, are little known. To identify the determinants of access to rehabilitation professionals by individuals with stroke at one, three, and six months after hospital discharge in Brazil and compare referral and access rates after discharge. Longitudinal and prospective study, with individuals with primary stroke, without previous disabilities. At hospital discharge, the number of rehabilitation professionals referred by the multidisciplinary team was recorded. The possible determinants of access, according to Andersen's model, were: a) predisposing factors: age, sex, education levels, and belief that they could improve with treatment; b) need factors: stroke severity, levels of disability; c) enabling factors: socioeconomic status, disposable income for health care, and quality of care provided by rehabilitation professionals. One, three, and six months after hospital discharge, individuals were contacted to identify which rehabilitation professionals were accessed. Multiple linear regression model and Wilcoxon tests were used (α=5%). 201 individuals were included. Disability levels and stroke severity explained 31%, 34%, and 39% (p
ISSN:1074-9357
1945-5119
1945-5119
DOI:10.1080/10749357.2024.2304969