Impact of the COVID-19 Pandemic and Governmental Policies on Rehabilitation Services and Physical Medicine in Jordan: A Retrospective Study

Nihad A. Almasri (), Carl J. Dunst, Hikmat Hadoush, Jaber Aldaod, Yousef Khader, Ali Alrjoub and Ahmad Almasri
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Nihad A. Almasri: Department of Physiotherapy, School of Rehabilitation, The University of Jordan, Amman 11942, Jordan
Carl J. Dunst: Orelena Hawks Puckett Institute, Asheville, NC 28730, USA
Hikmat Hadoush: Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, Jordan
Jaber Aldaod: Ministry of Health, Amman 11118, Jordan
Yousef Khader: Department of Public Health, Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
Ali Alrjoub: Ministry of Health, Amman 11118, Jordan
Ahmad Almasri: Ministry of Health, Amman 11118, Jordan

IJERPH, 2023, vol. 20, issue 3, 1-11

Abstract: Background : Although the COVID-19 pandemic led to a series of governmental policies and regulations around the world, the effect of these policies on access to and provision of rehabilitation services has not been examined, especially in low and middle- income countries. Aims : The aim of this study was to investigate the impact of governmental policies and procedures on the number of patients who accessed rehabilitation services in the public sector in Jordan during the pandemic and to examine the combined effect of sociodemographic factors (age and gender) and the governmental procedures on this number of patients. Methods : A retrospective cohort study was conducted based on records of 32,503 patients who visited the rehabilitation center between January 2020 and February 2021. Interrupted time-series analysis was conducted with three periods and by age and gender. Results : The number of patients who visited the rehabilitation clinics decreased significantly between January 2020 and May 2020 due to government-imposed policies, then increased significantly until peaking in September 2020 ( p = 0.0002). Thereafter, the number of patients decreased between October 2020 and February 2021 as a result of the second wave of the COVID-19 pandemic ( p = 0.02). The numbers of male and female patients did not differ ( p > 0.05). There were more patients aged 20 years and older attending rehabilitation clinics than younger patients during the first strict lock down and the following reduction of restriction procedures periods ( p < 0.05). Conclusions : The COVID-19 public measures in Jordan reduced access to rehabilitation services. New approaches to building resilience and access to rehabilitation during public health emergencies are needed. A further examination of strategies and new approaches to building resilience and increasing access to rehabilitation during public health emergencies is warranted.

Keywords: disability; healthcare; policy; rehabilitation services (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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