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Availability and barriers to access post-stroke rehabilitation in Latin America

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dc.contributor.authorGonzalez, Alejandro
dc.contributor.authorRosales, Julieta
dc.contributor.authorDe Souza, Ana
dc.contributor.authorCorredor, Angel
dc.contributor.authorBarboza, Miguel
dc.contributor.authorNAVIA, VICTOR
dc.contributor.authorBrunet, Florencia
dc.contributor.authorLagos, Javier
dc.contributor.authorNovarro, Nelson
dc.contributor.authorOrtega, Diego
dc.contributor.authorVillarroel, Victor
dc.contributor.authorAbanto, Carlos
dc.contributor.authorBarrientos, Jose
dc.contributor.authorSaltos, Filadelfo
dc.contributor.authorPapavasileiou, Vasileios
dc.contributor.authorTodd, Oliver
dc.contributor.authorGongora, Fernando
dc.contributor.authorALATAC collaborators
dc.date.accessioned2025-01-29T14:14:20Z
dc.date.available2025-01-29T14:14:20Z
dc.date.issued2024
dc.description.abstractObjectives: To describe the availability and barriers to access post-stroke rehabilitation services in Latin America. Materials and methods: We conducted a multi-national survey in Latin American countries. The survey consisted of three sections: (1) the national state of post-stroke rehabilitation; (2) the local state of post-stroke rehabilitation; and (3) the coverage and financing of post-stroke services. Stroke leaders from the surveyed countries were involved in developing and disseminating the survey. Results: 261 responses were collected from 17 countries. The mean age of respondents was 42.4 ± 10.1 years, and 139 (54.5 %) of the respondents were male. National clinical guidelines for post-stroke rehabilitation were reported by 67 (25.7 %) of the respondents. However, there were discrepancies between respondents within the same country. Stroke units, physiotherapy, occupational therapy, speech therapy, and neuropsychological therapy services were less common in public than private settings. The main barriers for inpatient and outpatient services included limited rehabilitation facilities, coverage, and rehabilitation personnel. The main source of financing for the inpatient and outpatient services was the national health insurance, followed by out-of-pocket payments. Private and out-of-pocket costs were more frequently reported in outpatient services. Conclusions: Post-stroke rehabilitation services in Latin American countries are restricted due to a lack of coverage by the public health system and private insurers, human resources, and financial aid. Public settings offer fewer post-stroke rehabilitation services compared to private settings. Developing consensus guidelines, increasing coverage, and using innovative approaches to deliver post-stroke rehabilitation is paramount to increase access without posing a financial burden.
dc.description.versionVersión Aceptada
dc.identifier.citationGonzalez-Aquines A, Rosales J, De Souza AC, Corredor-Quintero A, Barboza MA, Navia-Gonzalez V, Brunet-Perez F, Lagos-Servellon J, Novarro-Escudero N, Ortega-Moreno DA, Villarroel-Saavedra V, Abanto C, Barrientos-Guerra JD, Saltos-Mata F, Papavasileiou V, Todd O, Gongora-Rivera F; ALATAC collaborators. Availability and barriers to access post-stroke rehabilitation in Latin America. J Stroke Cerebrovasc Dis. 2024 Oct;33(10):107917. doi: 10.1016/j.jstrokecerebrovasdis
dc.identifier.doihttps://doi.org/10.1016/j.jstrokecerebrovasdis
dc.identifier.urihttps://hdl.handle.net/11447/9730
dc.language.isoen
dc.subjectAvailability
dc.subjectBarriers
dc.subjectLatin America
dc.subjectRehabilitation
dc.subjectStroke
dc.titleAvailability and barriers to access post-stroke rehabilitation in Latin America
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceJournal of Stroke and Cerebrovascular Diseases
dspace.entity.typePublication
relation.isAuthorOfPublication0cbde88b-0031-4a1b-b8de-9bcd09a08fe2
relation.isAuthorOfPublication.latestForDiscovery0cbde88b-0031-4a1b-b8de-9bcd09a08fe2

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