Crafting the Future of Community-Based Medical Rehabilitation: Exploring Optimal Models for Non-Inpatient Rehabilitation Services through a Narrative Review

Iuly Treger, Amit Kosto, Dor Vadas, Alan Friedman, Lena Lutsky and Leonid Kalichman ()
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Iuly Treger: Department of Physical Medicine and Rehabilitation, Soroka University Medical Center, Beer Sheva 84101, Israel
Amit Kosto: Department of Physical Medicine and Rehabilitation, Soroka University Medical Center, Beer Sheva 84101, Israel
Dor Vadas: Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford OX2 6GG, UK
Alan Friedman: Department of Physical Medicine and Rehabilitation, Soroka University Medical Center, Beer Sheva 84101, Israel
Lena Lutsky: South Department Administration, Clalit Health Service, Beer Sheva 84101, Israel
Leonid Kalichman: Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel

IJERPH, 2024, vol. 21, issue 10, 1-15

Abstract: Community-based medical rehabilitation encompasses diverse programs that cater to patients outside of inpatient settings, such as home rehabilitation, day rehabilitation centers, and ambulatory clinics. While inpatient rehabilitation principles are widely standardized, outpatient programs display significant variability influenced by healthcare models, local environments, economic constraints, and available resources. This narrative review aims to explore and synthesize the various models of non-inpatient rehabilitation services, evaluating their effectiveness, cost-efficiency, and patient satisfaction. The review also seeks to identify optimal practices and strategies to enhance community-based rehabilitation, alleviate the burden on inpatient facilities, and improve patient outcomes through multidisciplinary and patient-centered approaches. Additionally, the study examines the critical role of a professional program coordinator and the importance of effective clinical communication in outpatient rehabilitation. A comprehensive search of peer-reviewed literature was conducted across multiple databases, focusing on studies that examined community-based rehabilitation models. The findings suggest that community-based rehabilitation programs are generally more cost-effective than inpatient programs, with their success being heavily dependent on the intensity and timing of interventions. Multidisciplinary approaches and high-intensity rehabilitation have shown promise in improving patient quality of life, though their effectiveness varies by condition. Despite limited research, the involvement of a Physical and Rehabilitation Medicine (PRM) physician as a program coordinator appears vital for ensuring continuity of care. Moreover, effective clinical communication is essential, impacting all aspects of patient care and interprofessional collaboration, with continuous adaptation required to meet the evolving needs of diverse patient populations.

Keywords: community-based medical rehabilitation; outpatient rehabilitation; multidisciplinary rehabilitation; physical medicine and rehabilitation physician (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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