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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