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Rehabilitation service needs: physicians' perceptions and referrals

D R Brogan

    Archives of Physical Medicine and Rehabilitation
    |May 1, 1981
    PubMed
    Summary

    Physicians often see patients needing rehabilitation services but may not recognize the need or refer them adequately. Many healthcare facilities offer outpatient rehabilitation, but home services are rare.

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    Area of Science:

    • Rehabilitation Medicine
    • Healthcare Services Research
    • Physician Practice Patterns

    Background:

    • A significant percentage of physicians encounter patients requiring rehabilitation services.
    • Physician awareness and referral practices for rehabilitation are not well-understood.
    • Availability of outpatient and home-based rehabilitation services varies across healthcare settings.

    Purpose of the Study:

    • To assess physician perceptions and practices regarding patient rehabilitation needs.
    • To evaluate the provision of rehabilitation services by hospitals and clinics.
    • To identify potential gaps in patient referral for rehabilitation.

    Main Methods:

    • Descriptive sample survey of urban physicians.
    • Descriptive survey of hospitals and various rehabilitation clinics.
    • Data collection on patient encounters, offered services, and referral patterns.

    Main Results:

    • 75% of physicians saw patients needing rehabilitation; most referred elsewhere.
    • Only 15% of physicians offered in-house rehabilitation services.
    • 70% of hospitals and 55% of clinics provided outpatient rehabilitation; home services were scarce.

    Conclusions:

    • Physicians may underestimate the extent of rehabilitation needs among their patients.
    • Physician referral practices for rehabilitation services may be inadequate.
    • Gaps exist in service provision, particularly for home-based rehabilitation.

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