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The report is available in English with a French summary - KCE

The report is available in English with a French summary - KCE

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128 Musculoskeletal & Neurological Rehabilitation <strong>KCE</strong> <strong>report</strong>s 57<br />

Figure 6.17: Average number of sessions per patient case<br />

160<br />

140<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

Most of the rehabilitation sessions are provided to an <strong>in</strong>dividual after stroke or sp<strong>in</strong>al<br />

cord <strong>in</strong>jury or to the <strong>in</strong>dividual <strong>with</strong> multiple scleros<strong>is</strong> rather then to <strong>in</strong>dividuals after<br />

amputation of a lower extremity or a total hip replacement, which seems logical when<br />

the complexity and the chronic character of the consequences of the different<br />

pathologies <strong>is</strong> considered.<br />

In order to detect trends <strong>in</strong> the number of sessions per respondent a graph reflect<strong>in</strong>g<br />

the average number of sessions per patient case per respondent completes the analys<strong>is</strong>.<br />

No outliers are detected though.<br />

Figure 6.18: Average number of sessions per patient case per respondent<br />

6.3.2 Optim<strong>is</strong>ed rehabilitation programmes<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

Amputation of lower<br />

extremity<br />

Multiple Scleros<strong>is</strong> Sp<strong>in</strong>al Cord Injury Cerebrovascular<br />

Accident<br />

A second part of the questionnaire asks the respondents to describe ideas for<br />

optim<strong>is</strong><strong>in</strong>g rehabilitation programmes for each of the five patient cases, <strong>in</strong>dependent of<br />

their own work<strong>in</strong>g situation, the current payment systems and the Belgian organ<strong>is</strong>ation<br />

model. Concrete recommendations, such as <strong>in</strong>cluded <strong>in</strong> a <strong>report</strong> of the GTA (Greater<br />

Toronto Area) Rehab Network 137 , (see chapter 3.5.1) were hoped for. In that <strong>report</strong><br />

recommendations were made for patients after hip replacements such as:<br />

• Standardize the model of care to achieve equitable access to best care;<br />

• Identify and track appropriate outcome measures;<br />

• Develop appropriate triage tools;<br />

Total Hip<br />

Replacement<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

Amputation of<br />

Multiple<br />

Sp<strong>in</strong>al Cord<br />

Cerebrovascular<br />

Total Hip<br />

1 2 3 4 5 6 7 8 9

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