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

• DOI: 10.1016/j.jstrokecerebrovasdis.2024.107917
• Publication Date: 2024-08-05T19:29:55Z
• Authors: Alejandro Gonzale...; Julieta Rosales; Ana Claudia De Souza; Angel Corredor-Qu...; Miguel A. Barboza; Victor Navia-Gonz...; Florencia Brunet-...; Javier Lagos-Serv...; Nelson Novarro-Es...; Diego A. Ortega-M...; Victor Villarroel...; Carlos Abanto; Jose Domingo Barr...; Filadelfo Saltos-...; Vasileios Papavas...; Oliver Todd; Fernando Gongora-...; Pahola Araujo; Sandra Berrú; José Escartín; Néstor Flores; Cynthia Marleny; Posadas Pinto; Aliñado Ramos; Luis Rodriguez; Juan Roly; Diego Ruben; Sharon Vera; Aurora Vernaza
• Keywords: Stroke

ObjectivesTo describe the availability and barriers to access post-stroke rehabilitation services in Latin America.Materials methodsWe conducted a multi-national survey American countries. The consisted of three sections: 1) national state rehabilitation; 2) local 3) coverage financing services. Stroke leaders from surveyed countries were involved developing disseminating survey.Results261 responses collected 17 mean age respondents was 42.4 ± 10.1 years, 139 (54.5%) male. National clinical guidelines for reported by 67 (25.7%) respondents. However, there discrepancies between within same country. units, physiotherapy, occupational therapy, speech neuropsychological therapy less common public than private settings. main inpatient outpatient included limited facilities, coverage, personnel. source health insurance, followed out-of-pocket payments. Private costs more frequently services.ConclusionsPost-stroke are restricted due lack system insurers, human resources, financial aid. Public settings offer fewer compared Developing consensus guidelines, increasing using innovative approaches deliver is paramount increase without posing burden.