Profile of patients undergoing therapy in the field of therapeutic rehabilitation on the basis of the Act of May 9, 2018 on special solutions supporting persons with severe disability

Karol Wojciechowski, Krzysztof Mirecki, Marek Kiljański, Jan Szczegielniak

K. Wojciechowski, K. Mirecki, M. Kiljański, J. Szczegielniak – Profil pacjentów usprawnianych w zakresie rehabilitacji leczniczej na podstawie ustawy z dnia 9 maja 2018 r. o szczególnych rozwiązaniach wspierających osoby o znacznym stopniu niepełnosprawności. Fizjoterapia Polska 2019; 19(3); 168-172

Abstract
The aim of the study was an attempt to analyze rehabilitation services provided to patients with a severe disability certificate.
The study material consisted of data reported by service providers who have concluded contracts in the field of therapeutic rehabilitation with the Lodz Voivodship Branch of the National Health Fund, providing services within the combined ranges, dedicated to people with a severe degree of disability. Reporting data was prepared by service providers in the period from July 1, 2018 to December 31, 2018.
Data analysis indicated that patients’ condition was most often improved in the field of outpatient physiotherapy for people with a severe degree of disability (45.13% of the total number of respondents); 29.63% of patients constituted the group of patients covered by medical outpatient rehabilitation care and 19.12% of patients underwent physiotherapy at home.
The evaluation of the study material indicated that patients most often undergoing rehabilitation were patients in the 51-84 age group (62.23% of all respondents).
The smallest group consisted of patients from the age group up to 16 years of age and the 85-101 age group (3.26% and 6.04% of all respondents, respectively).
The evaluation indicated that the most common main diagnosis reported by service providers was cerebral palsy (8.65% of all respondents) and hemiplegia (7.71% of all respondents).
The study showed that the most frequently reported billing product was individual work with patients, accounting for 17.06% of all procedures performed.

Key words:
therapeutic rehabilitation, significant degree of disability

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Analysis of intramural cardiac rehabilitation services

Karol Wojciechowski, Marek Kiljański, Krzysztof Mirecki,
Jan Szczegielniak

K. Wojciechowski, M. Kiljański, K. Mirecki, J. Szczegielniak – Analysis of intramural cardiac rehabilitation services. FP 2015; 15(2); 100-108

Abstract

The aim of this paper was to make an attempt at characterizing a profile of patients referred for intramural systemic rehabilitation therapies. The analysis covered also an assessment of effectiveness of the rehabilitation applied to the patients.
The research material were data reported by five departments of intramural cardiac rehabilitation which had signed contracts with the Lodz Voivodeship Department of the National Health Fund. All the services had been performed in 2013.
The research showed that the largest group of patients subjected to intramural cardiac rehabilitation in the area of Lodz voivodeship in 2013 were the patients aged 56-75 (68,02% of all the researched).
The research analysis showed that the most commonly reported diagnosis was “unspecified heart failure” (58,04% of the whole of the research material).
The analysis of the modes of discharge from rehabilitation units showed that the mode of “completion of therapeutic or diagnostics process” accounted for 76,75% of all the researched patients.
It was noted that the vast majority of the patients subjected to cardiac rehabilitation were men (67,17% of the whole).

Key words:
cardiac rehabilitation, main diagnoses, discharge mode

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The characteristics of patients undergoing neurological rehabilitation

Karol Wojciechowski, Marek Kiljański, Krzysztof Mirecki, Jan Szczegielniak

K. Wojciechowski, M. Kiljański, K. Mirecki, J. Szczegielniak – The characteristics of patients undergoing neurological rehabilitation. FP 2015; 15(3); 78-89

Abstract
The present paper is an attempt to characterize the profile of a patient referred for neurological rehabilitation.
The research material included data collected from nine units of intramural neurological rehabilitation which had signed contracts with the Lodz Voivodeship Department of the National Health Fund.
The analysis of research material with respect to the age of patients undergoing neurological rehabilitation has shown that the most commonly rehabilitated patients were those aged between 56-75 which constitutes 59.74% of all patients.
The research has shown that the most commonly reported diagnosis was “spastic hemiplegia” (40.58% of all patients) and “hemiplegia, unspecified” (21.19% of all patients).

Key words:
neurological rehabilitation, main diagnoses

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