COMPARISON OF HOSPITAL-BASED AND HOME-BASED REHABILITATION AFTER CERVICAL SPINE SURGERY IN UZBEKISTAN

Shokhrukh Ziyavaddinov

GREEN ECONOMY AND DEVELOPMENT, 2026, vol. 4, issue 5

Abstract: It highlights the rehabilitation outcome variability being measured and influences how recovery pathways areevaluated and compared. Access for postoperative rehabilitation services and continuity of care at discharge is significantlyaffected by institutional and socioeconomic factors. The aim of this study was to identify the level of rehabilitationeffectiveness and its five dimensions namely accessibility, adherence, functional recovery, patient satisfaction, and costefficiency in postoperative cervical spine patients in Uzbekistan. The main purpose of this study was to explore patients’perceptions of their rehabilitation experiences and treatment outcomes within their early years as postoperative patients.This study used quantitative design involving an iterative process of analytical cycles: model specification, estimation,validation and refinement. A total of 120 patients from urban hospitals and home settings were purposely selected andsurveyed to obtain their feedback on the rehabilitation programs they received before and after their discharge andthe strategies that they employed within their recovery management process. The results indicate that the combinedapproach adopted in this research reasonably enabled patients to be actively engaged in their recovery process andimproved functional outcomes among them. The resultant structural equation model showed a better fit to the data,providing support for the integrated application of the Heckman selection model. The findings and the implications forthe improvement of patients’ rehabilitation outcomes are discussed. This study provides some theoretical and practicalimplications for improving the patients’ recovery outcomes and their long-term development which aim to enhance thehealthcare qualities of future rehabilitation programs.

Keywords: Cervical Spine Rehabilitation; Hospital-Based vs Home-Based Care; Structural Equation Modeling; Heckman Selection Model; Rehabilitation Effectiveness; Functional Recovery Outcomes; Postoperative Care in Uzbekistan (search for similar items in EconPapers)
Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:teu:ged000:v:4:y:2026:i:5:id:10454

DOI: 10.5281/zenodo.20203824

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