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[PMID]:27773587
[Au] Autor:Szekeres M
[Ad] Endereço:Health and Rehabilitation Sciences, Western University, London, Ontario, Canada. Electronic address: mike.szekeres@gmail.com.
[Ti] Título:Clinical relevance commentary in response to: Relative motion orthoses in the management of various hand conditions: A scoping review.
[So] Source:J Hand Ther;29(4):505-506, 2016 Oct - Dec.
[Is] ISSN:1545-004X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Traumatismos da Mão/reabilitação
Aparelhos Ortopédicos/utilização
Amplitude de Movimento Articular/fisiologia
Recuperação de Função Fisiológica/fisiologia
[Mh] Termos MeSH secundário: Tomada de Decisão Clínica
Desenho de Equipamento/métodos
Feminino
Traumatismos dos Dedos/diagnóstico
Traumatismos dos Dedos/reabilitação
Seguimentos
Mãos/fisiopatologia
Traumatismos da Mão/diagnóstico
Seres Humanos
Masculino
Terapeutas Ocupacionais/estatística & dados numéricos
Ensaios Clínicos Controlados Aleatórios como Assunto
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:27771214
[Au] Autor:de Almeida PH; MacDermid JC; Pontes TB; Dos Santos-Couto-Paz CC; da Mota LM; Matheus JP
[Ad] Endereço:Faculdade de Ceilândia, University of Brasília, Brasília, DF, Brazil. Electronic address: pedroalmeida.to@gmail.com.
[Ti] Título:Orthotic use for CMC osteoarthritis: Variations among different health professionals in Brazil.
[So] Source:J Hand Ther;29(4):440-450, 2016 Oct - Dec.
[Is] ISSN:1545-004X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: Cross-sectional descriptive study. INTRODUCTION: Osteoarthritis (OA) is the most prevalent musculoskeletal disease in the adult and older adult populations. The use of orthoses to stabilize the thumb's articular complex is one of the most common conservative management strategies. Despite substantial research about this topic, there is insufficient evidence about the optimal use of orthoses to inform clinical practice, contributing to practice variations within and across health professionals. PURPOSE OF THE STUDY: To identify the prescription patterns, design preferences, and barriers for the use of orthotic devices among Brazilian health care professionals involved in the treatment of patients with OA of the basal thumb joint. METHODS: An electronic questionnaire was sent to occupational therapists, physiotherapists, and rheumatologists across Brazil through professional association mailing lists. Survey included questions about orthosis design, materials, and barriers to the use of orthotic interventions. Respondents indicated their use based on photographs of 25 orthoses models that were selected through bibliographic review and expert consultation. Descriptive statistics, the chi-square test for independence, and the Fisher exact test were used to compare differences among orthotic prescription preferences, barriers, and challenges observed amidst the 3 participants' professional classes. RESULTS: There was no consensus about orthotic prescription among 275 professionals who answered the survey. About 69% of participants reported the use of multiple orthosis during treatment of patients with thumb OA. Results suggest significant variations in the number of joints included and stabilization strategies adopted, with a preference for orthotics made in rigid materials and involving the wrist, carpometacarpal, and metacarpophalangeal joints (P < .001). The lack of knowledge about orthotic options, institutional regulations, and policies were the major barriers reported by respondents (P < .01). CONCLUSION: A plentiful variety of different orthoses designs were observed in this study, and the prescriptions made by 3 professional classes showed differences regarding types of stabilization, joint involvement, and positioning. Despite the existence of clinical trials suggesting benefits for specific custom-made design models, our results indicated widespread clinical variation in practices and preferences. LEVEL OF EVIDENCE: Not applicable.
[Mh] Termos MeSH primário: Articulações Carpometacarpais/fisiopatologia
Aparelhos Ortopédicos/utilização
Osteoartrite/reabilitação
Amplitude de Movimento Articular/fisiologia
Inquéritos e Questionários
Polegar
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Brasil
Estudos Transversais
Feminino
Força da Mão
Seres Humanos
Masculino
Meia-Idade
Terapeutas Ocupacionais/estatística & dados numéricos
Osteoartrite/diagnóstico
Fisiatras/estatística & dados numéricos
Fisioterapeutas/estatística & dados numéricos
Índice de Gravidade de Doença
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28976995
[Au] Autor:Muldoon KM; Armstrong-Heimsoth A; Thomas J
[Ad] Endereço:Department of Anatomy, Arizona College of Osteopathic Medicine, Midwestern University, Glendale, Arizona, United States of America.
[Ti] Título:Knowledge of congenital cytomegalovirus (cCMV) among physical and occupational therapists in the United States.
[So] Source:PLoS One;12(10):e0185635, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Congenital cytomegalovirus (cCMV) infections cause more children to have permanent disabilities than Down Syndrome, Fetal Alcohol Syndrome, Spina Bifida, and pediatric HIV/AIDS combined. The risk of infection during pregnancy can be significantly decreased using universal precautions, such as thorough handwashing and cleansing of surfaces and objects that have come into contact with infected body fluids. Children under 3 years of age are commonly asymptomatic excretors of CMV, with the highest viral loads present in saliva. Pediatric therapists have regular close contact with young children, and are thus likely at elevated occupational risk of acquiring CMV. Our objective was to evaluate therapist knowledge of cCMV and its transmission. We recruited American Occupational Therapy Association (AOTA) and American Physical Therapy Association (APTA) members via electronic newsletters and printed flyers from April to September 2015. Participants completed an online, anonymous 24-question survey using Survey Monkey. We compared responses between groups and previously published CMV awareness data using binomial tests of difference of proportions and multiple logistic regression. Our study identified both a low level of therapist awareness and poor demonstrated understanding of cCMV. Self-reported cCMV awareness amongst therapists was greater than awareness in the general population, and equivalent to awareness amongst health care professionals. Whereas 52% of participants self-reported awareness of cCMV, only 18% demonstrated understanding of the behavioral modes of CMV transmission. Fewer therapists reported awareness of cCMV than other, less prevalent conditions. Higher levels of health risk knowledge were associated with greater contact with children. Most participants reported learning about cCMV from the workplace. The knowledge gaps between self-reported awareness of cCMV and demonstrated understanding of modes of transmission described by our results emphasize the need for additional training of therapists. cCMV is preventable, and accurate knowledge of modes of transmission is crucial for the health of practitioners and clients.
[Mh] Termos MeSH primário: Infecções por Citomegalovirus/congênito
Conhecimento
Terapeutas Ocupacionais
Fisioterapeutas
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185635


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[PMID]:28427970
[Au] Autor:Freyschlag CF; Kerschbaumer J; Pinggera D; Bacher G; Mur E; Thomé C
[Ad] Endereço:Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria. Electronic address: christian.freyschlag@i-med.ac.at.
[Ti] Título:Structured Evaluation of Glioma Patients by an Occupational Therapist-Is Our Clinical Examination Enough?
[So] Source:World Neurosurg;103:493-500, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Preservation of neurologic function is mandatory when offering a surgical intervention to patients with low-grade gliomas (LGGs), given that the goal of any treatment is the patient's return to their normal everyday life. OBJECTIVE: To determine whether a structured evaluation by an occupational therapist can reveal deficits that might be overseen in routine clinical examination of patients with a surgically treated LGG. METHODS: A total of 20 patients with radiographically suspected LGG were examined in a standardized fashion at 3 stages: preoperatively, postoperatively, and 3 months thereafter. Results were analyzed descriptively. RESULTS: A total of 19 patients (95%) showed no postoperative motor deficit; one suffered from akinesia due to supplementary motor area involvement and demonstrated a transient deficit with manifestation on the first postoperative day. Patients with eloquent LGGs, involving speech (n = 6, 30%), exhibited different transient speech disturbances according to the location of the lesion. Structured testing revealed a postoperative worsening of movement mirroring (upper extremity) and finger discrimination (sensory) in 5 of 20 patients (25%). Force meter evaluation of the upper extremity was decreased significantly postoperatively for the affected hemisphere, even though motor deficits were absent in most patients. The action research arm test detected deterioration in more than one half of the patients postoperatively. Patients recovered from these deficits within the first 3 months. CONCLUSIONS: Routine clinical examination and neuropsychological evaluation fail to detect mild deficits in sensory function, reactivity, and apraxia, which may have a serious impact on patients' ability to return to their normal lives and work.
[Mh] Termos MeSH primário: Apraxias/fisiopatologia
Neoplasias Encefálicas/fisiopatologia
Glioma/fisiopatologia
Transtornos dos Movimentos/fisiopatologia
Exame Neurológico
Neurocirurgiões
Terapeutas Ocupacionais
Distúrbios da Fala/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Apraxias/diagnóstico
Apraxias/etiologia
Mapeamento Encefálico
Neoplasias Encefálicas/diagnóstico por imagem
Neoplasias Encefálicas/patologia
Neoplasias Encefálicas/cirurgia
Função Executiva
Feminino
Neuroimagem Funcional
Glioma/diagnóstico por imagem
Glioma/patologia
Glioma/cirurgia
Seres Humanos
Monitorização Neurofisiológica Intraoperatória
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Transtornos dos Movimentos/diagnóstico
Transtornos dos Movimentos/etiologia
Força Muscular
Gradação de Tumores
Testes Neuropsicológicos
Procedimentos Neurocirúrgicos
Exame Físico
Estudos Prospectivos
Distúrbios da Fala/diagnóstico
Distúrbios da Fala/etiologia
Estereognose
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE


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[PMID]:28422626
[Au] Autor:Berg LA; Jirikowic T; Haerling K; MacDonald G
[Ad] Endereço:Lucretia A. Berg, EdD, OTR/L, is Occupational Therapist, II, Children's Therapy Unit, MultiCare Good Samaritan Hospital, Puyallup, WA; lucretiaberg@me.com.
[Ti] Título:Navigating the Hidden Curriculum of Higher Education for Postsecondary Students With Intellectual Disabilities.
[So] Source:Am J Occup Ther;71(3):7103100020p1-7103100020p9, 2017 May/Jun.
[Is] ISSN:0272-9490
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Students with intellectual and/or developmental disabilities (IDD) increasingly pursue postsecondary education (PSE). Navigating the hidden curriculum-including meeting prerequisites for PSE and employment, using support systems and community transportation, and carrying out adulthood expectations-is an area of challenge. This exploratory case study examined experiences of students with IDD attending a PSE program and stakeholder perspectives. Thirty-two participants (10 students with IDD, 5 parents or guardians, 4 college administrators, 8 college instructors, 4 occupational therapists, and a transition specialist) were interviewed. Conventional content analysis revealed navigating the hidden curriculum as a key theme and three subthemes: (1) adult-based system navigation, (2) persisting challenges with adaptive behaviors, and (3) disability awareness and disclosure. Limited awareness of disability and supports and services needed for a successful PSE outcome were contributing factors. Occupational therapists have the skills to support students with IDD in skill acquisition to successfully transition to and navigate PSE and the hidden curriculum.
[Mh] Termos MeSH primário: Educação de Pessoa com Deficiência Intelectual
Docentes
Terapeutas Ocupacionais
Pais
Estudantes
Universidades
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adulto
Idoso
Conscientização
Currículo
Revelação
Emprego
Feminino
Seres Humanos
Deficiência Intelectual
Masculino
Meia-Idade
Pesquisa Qualitativa
Habilidades Sociais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.5014/ajot.2017.024703


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[PMID]:28304316
[Au] Autor:Gad A; Parkinson E; Khawar N; Elmeki A; Narula P; Hoang D
[Ti] Título:Perspectives and attitudes of pediatricians concerning post-discharge care practice of premature infants.
[So] Source:J Neonatal Perinatal Med;10(1):99-107, 2017.
[Is] ISSN:1878-4429
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Survival rates of premature infants are at a historical high and increasingly more pediatricians are caring for former premature infants. The goal of this study was to describe the perspectives and attitudes of pediatricians, as well as, the challenges of rendering post-neonatal intensive care unit (NICU) discharge care for premature infants. METHODS: An anonymous 22-question web-based survey was emailed to pediatricians who are current members of the American Academy of Pediatrics (AAP) and practicing in Kings County, New York. RESULTS: There were 148 completed surveys with 79% being general pediatricians. Of all respondents, 63% believed that premature infants should have a neonatal high risk follow-up visit within days after discharge and 64% were satisfied with the NICU discharge summary acquisition. While 74% of pediatricians felt comfortable following up with former extremely premature infants, 65% referred to specialists, most often to child development, neurology, and physical and/or occupational therapy. The majority (85%) were more likely to refer premature infants to early intervention. Participating pediatricians varied in their knowledge of immunization and breastfeeding guidelines. Finally, 88% of respondents acknowledged that caregivers of premature infants experience increased stress, with 53% stating that the stress should be addressed. CONCLUSIONS: Understanding the perceptions and challenges of pediatricians who care for premature infants may help improve post NICU quality of care. Transition to the outpatient setting is a crucial step in the management of premature infants and a focus on improved hand-off procedures between hospital and physicians may prove beneficial. Also, pediatricians must stay abreast of current recommendations for breastfeeding and vaccinations. Furthermore, emphasis should be given to stress reduction and management for caregivers of former premature infants.
[Mh] Termos MeSH primário: Assistência ao Convalescente
Atitude do Pessoal de Saúde
Competência Clínica
Pediatras
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Aleitamento Materno
Cuidadores/psicologia
Estudos Transversais
Intervenção Precoce (Educação)
Feminino
Seres Humanos
Imunização
Lactente
Lactente Extremamente Prematuro
Recém-Nascido
Recém-Nascido Prematuro
Unidades de Terapia Intensiva Neonatal
Masculino
Neurologistas
Terapeutas Ocupacionais
Alta do Paciente
Sumários de Alta do Paciente Hospitalar
Fisioterapeutas
Guias de Prática Clínica como Assunto
Estresse Psicológico/psicologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.3233/NPM-1615


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[PMID]:28276843
[Au] Autor:Forsyth C; Mason B
[Ad] Endereço:a Department of Specialist Services , Hounslow Learning Disability Team, Hounslow & Richmond Community Healthcare NHS Trust , Hounslow , UK.
[Ti] Título:Shared leadership and group identification in healthcare: The leadership beliefs of clinicians working in interprofessional teams.
[So] Source:J Interprof Care;31(3):291-299, 2017 May.
[Is] ISSN:1469-9567
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Despite the proposed benefits of applying shared and distributed leadership models in healthcare, few studies have explored the leadership beliefs of clinicians and ascertained whether differences exist between professions. The current article aims to address these gaps and, additionally, examine whether clinicians' leadership beliefs are associated with the strength of their professional and team identifications. An online survey was responded to by 229 healthcare workers from community interprofessional teams in mental health settings across the East of England. No differences emerged between professional groups in their leadership beliefs; all professions reported a high level of agreement with shared leadership. A positive association emerged between professional identification and shared leadership in that participants who expressed the strongest level of profession identification also reported the greatest agreement with shared leadership. The same association was demonstrated for team identification and shared leadership. The findings highlight the important link between group identification and leadership beliefs, suggesting that strategies that promote strong professional and team identifications in interprofessional teams are likely to be conducive to clinicians supporting principles of shared leadership. Future research is needed to strengthen this link and examine the leadership practices of healthcare workers.
[Mh] Termos MeSH primário: Relações Interprofissionais
Liderança
Serviços de Saúde Mental/organização & administração
Equipe de Assistência ao Paciente/organização & administração
Identificação Social
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Estudos Transversais
Inglaterra
Seres Humanos
Terapeutas Ocupacionais/psicologia
Enfermagem Psiquiátrica
Psicologia
Assistentes Sociais/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1080/13561820.2017.1280005


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[PMID]:28254668
[Au] Autor:Sulek R; Trembath D; Paynter J; Keen D; Simpson K
[Ad] Endereço:Menzies Health Institute Queensland, Griffith University, Australia. Electronic address: R.Sulek@Griffith.edu.au.
[Ti] Título:Inconsistent staffing and its impact on service delivery in ASD early-intervention.
[So] Source:Res Dev Disabil;63:18-27, 2017 Apr.
[Is] ISSN:1873-3379
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Inconsistent staffing (high turnover, casual workforce) is problematic in organisations, with the potential to impact both staff and services provided. Research has primarily focused on the impacts of inconsistent staffing in child welfare and community services with little evidence surrounding their ability to impact the outcomes for children with Autism Spectrum Disorders attending early-intervention services. AIM: The aim of this study was to explore staff views regarding the impact of staff turnover on the delivery of group based early intervention for children with ASD. METHODS AND PROCEDURES: We conducted five focus groups involving 29 professional (e.g. teachers, behaviour therapists), para-professional (e.g. child care workers), and managerial staff to explore their views. Audio recordings were transcribed verbatim for use in thematic analysis. OUTCOMES AND RESULTS: Two central themes, comprising five categories emerged to encompass participants' views. "Impacts on Staff" accounted for the challenges existing staff felt when working with new and untrained staff in the centre. Participants also expressed concerns for the "Impacts on Service Delivery" that resulted from dynamic staffing, affecting fidelity of interventions and the program itself. CONCLUSIONS AND IMPLICATIONS: The findings suggest that lacking a consistent staffing structure is problematic when attempting to provide high quality early intervention services to children with ASD and suggest that future research should investigate the extent of inconsistent staffing, impacts of inconsistent staffing on providing intervention, and develop a range of tools to help measure these effects.
[Mh] Termos MeSH primário: Pessoal Técnico de Saúde
Transtorno do Espectro Autista/reabilitação
Intervenção Precoce (Educação)
Admissão e Escalonamento de Pessoal
Professores Escolares
[Mh] Termos MeSH secundário: Adulto
Terapia Comportamental
Criança
Pré-Escolar
Grupos Focais
Seres Humanos
Meia-Idade
Terapeutas Ocupacionais
Reorganização de Recursos Humanos
Qualidade da Assistência à Saúde
Queensland
Fonoterapia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE


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[PMID]:28218590
[Au] Autor:Stutz-Tanenbaum P; Greene D; Hanson DJ; Koski J
[Ad] Endereço:Patricia Stutz-Tanenbaum, MS, OTR/L, FAOTA, is Assistant Professor and Academic Fieldwork Coordinator, Occupational Therapy Department, Colorado State University, Fort Collins; patricia.stutz-tanenbaum@colostate.edu.
[Ti] Título:Professional Reward in the Academic Fieldwork Coordinator Role.
[So] Source:Am J Occup Ther;71(2):7102230010p1-7102230010p7, 2017 Mar/Apr.
[Is] ISSN:0272-9490
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this national survey was to explore perceptions of professional reward among occupational therapist (OT) and occupational therapy assistant (OTA) academic fieldwork coordinators (AFWCs). Agreement was found in ranking the value of six role factors: (1) fieldwork data management, (2) fieldwork site management, (3) fieldwork teaching and consultation, (4) departmental and institutional compliance, (5) scholarship and accreditation, and (6) laying groundwork for students in fieldwork. Both levels of AFWC indicated teaching and consultation had the highest value and data management the least. OT AFWCs placed significantly higher value on publishing articles and lower value on educating fieldwork educators about role delineation than OTA AFWCs. Five themes emerged regarding professional reward: (1) intrinsic reward, (2) collaboration, (3) development of the profession, (4) feeling appreciated, and (5) student success. AFWCs value activities involving personal interaction, promoting professional development, and facilitating student success. Results have implications for AFWC collaboration, workload distribution, and scholarship.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Docentes
Terapeutas Ocupacionais
Terapia Ocupacional/educação
Recompensa
[Mh] Termos MeSH secundário: Acreditação
Comportamento Cooperativo
Seres Humanos
Estudantes de Ciências da Saúde
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE
[do] DOI:10.5014/ajot.2017.022046


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[PMID]:28114960
[Au] Autor:Jesus TS; Landry MD; Dussault G; Fronteira I
[Ad] Endereço:Portuguese Ministry of Education, Aggregation of Schools of Escariz, 4540-320, Escariz, Portugal. jesus-ts@outlook.com.
[Ti] Título:Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century.
[So] Source:Hum Resour Health;15(1):8, 2017 Jan 23.
[Is] ISSN:1478-4491
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: People with disabilities face challenges accessing basic rehabilitation health care. In 2006, the United Nations Convention on the Rights of Persons with Disabilities (CRPD) outlined the global necessity to meet the rehabilitation needs of people with disabilities, but this goal is often challenged by the undersupply and inequitable distribution of rehabilitation workers. While the aggregate study and monitoring of the physical rehabilitation workforce has been mostly ignored by researchers or policy-makers, this paper aims to present the 'challenges and opportunities' for guiding further long-term research and policies on developing the relatively neglected, highly heterogeneous physical rehabilitation workforce. METHODS: The challenges were identified through a two-phased investigation. Phase 1: critical review of the rehabilitation workforce literature, organized by the availability, accessibility, acceptability and quality (AAAQ) framework. Phase 2: integrate reviewed data into a SWOT framework to identify the strengths and opportunities to be maximized and the weaknesses and threats to be overcome. RESULTS: The critical review and SWOT analysis have identified the following global situation: (i) needs-based shortages and lack of access to rehabilitation workers, particularly in lower income countries and in rural/remote areas; (ii) deficiencies in the data sources and monitoring structures; and (iii) few exemplary innovations, of both national and international scope, that may help reduce supply-side shortages in underserved areas. DISCUSSION: Based on the results, we have prioritized the following 'Six Rehab-Workforce Challenges': (1) monitoring supply requirements: accounting for rehabilitation needs and demand; (2) supply data sources: the need for structural improvements; (3) ensuring the study of a whole rehabilitation workforce (i.e. not focused on single professions), including across service levels; (4) staffing underserved locations: the rising of education, attractiveness and tele-service; (5) adapt policy options to different contexts (e.g. rural vs urban), even within a country; and (6) develop international solutions, within an interdependent world. CONCLUSIONS: Concrete examples of feasible local, global and research action toward meeting the Six Rehab-Workforce Challenges are provided. Altogether, these may help advance a policy and research agenda for ensuring that an adequate rehabilitation workforce can meet the current and future rehabilitation health needs.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Saúde Global
Equidade em Saúde
Pessoal de Saúde
Serviços de Saúde para Pessoas com Deficiência/recursos humanos
Área Carente de Assistência Médica
População Rural
[Mh] Termos MeSH secundário: Países em Desenvolvimento
Política de Saúde
Necessidades e Demandas de Serviços de Saúde
Serviços de Saúde para Pessoas com Deficiência/organização & administração
Seres Humanos
Cooperação Internacional
Terapeutas Ocupacionais/provisão & distribuição
Fisioterapeutas/provisão & distribuição
Políticas
Pobreza
Serviços de Saúde Rural
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1186/s12960-017-0182-7



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde