Rehabilitation in Swedish municipalities during covid-19. Report from a survey study
Charlotte Chruzander, Swedish Association of Physiotherapists
Physiotherapist, Phd. Health policy strategist at the Swedish Association of Physiotherapists
Christina Lundqvist, Occupational therapist, MSc. Swedish Association of Occupational therapists
Contributors to the report
• Swedish Association of Physiotherapists
• Swedish Association of Occupational therapists
• Trade unions and professional bodies
• Represents about 20 000
Physiotherapists and Occupational therapists
S I D A 3
Background and aim
• Elderly people at risk for severe illness, disability and death due to covid-19
• Need for rehabilitation during/after coivd-19
• To gain an overview of the prepardness in the municipalities` from a
rehabilitative perspective
S I D A 4
Method
• Online survey
• Medically Responsible for Rehabilitation (MAR)
– (MAR has a specific and regulated
responsibility for patientsafety i rehabilitative activities. About 85 out of 290 municipalities in Sweden has a MAR)
• Survey was open during May to June 2020
H T T P S : / / W W W . R I K S D A G E N . S E / S V / D O K U M E N T - L A G A R / D O K U M E N T / S V E N S K - F O R F A T T N I N G S S A M L I N G / H A L S O - - O C H -
S J U K V A R D S L A G - 2 0 1 7 3 0 _ S F S - 2 0 1 7 - 3 0 S I D A 5
Results
• Respons-rate 72%
• Most common changes:
– Hygiene routines
– Actions to prevent spread of infection – New routines för aid prescriptions – Reduced number of social contacts – Social distancing
– Priority of patients
– New routines for home-visits – Staff training postponed
S I D A 6
98 88 79 18
0 0
0 20 40 60 80 100
Nursing home Home care Care home (LSS) Yes, other Don´t know No changes
%
Have changes been done due to covid-19?
Results
• Examples of positive impact on patient safety
– Reduced spread of infection
– Increased knowledege of and compliance to basic hygiende routines
– Better communication
S I D A 7
Results
• Examples of negative impact on patient safety
– Impaired health and functioning – Increased risk for falls
– Increased risk for thrombus – Increased risk for bedsore
S I D A 8
Results
0 10 20 30 40 50 60
Yes, largely Yes, partially No, not at all
%
Does the municipality manage its rehabilitative responsibility?
S I D A 9
H T T P S : / / W W W . F Y S I O T E R A P E U T E R N A . S E / G L O B A L A S S E T S / O M _ F O R B U N D E T / M A R - E N K A T - R A P P O R T - J U N I - 2 0 2 0 . P D F S I D A 1 0
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