COMPARISON OF HOSPITAL-BASED AND HOME-BASED REHABILITATION AFTER CERVICAL SPINE SURGERY IN UZBEKISTAN
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https://doi.org/10.5281/zenodo.20203824##semicolon##
Cervical Spine Rehabilitation, Hospital-Based vs Home-Based Care, Structural Equation Modeling, Heckman Selection Model, Rehabilitation Effectiveness, Functional Recovery Outcomes, Postoperative Care in Uzbekistan##article.abstract##
It highlights the rehabilitation outcome variability being measured and influences how recovery pathways are
evaluated and compared. Access for postoperative rehabilitation services and continuity of care at discharge is significantly
affected by institutional and socioeconomic factors. The aim of this study was to identify the level of rehabilitation
effectiveness and its five dimensions namely accessibility, adherence, functional recovery, patient satisfaction, and cost
efficiency in postoperative cervical spine patients in Uzbekistan. The main purpose of this study was to explore patients’
perceptions of their rehabilitation experiences and treatment outcomes within their early years as postoperative patients.
This study used quantitative design involving an iterative process of analytical cycles: model specification, estimation,
validation and refinement. A total of 120 patients from urban hospitals and home settings were purposely selected and
surveyed to obtain their feedback on the rehabilitation programs they received before and after their discharge and
the strategies that they employed within their recovery management process. The results indicate that the combined
approach adopted in this research reasonably enabled patients to be actively engaged in their recovery process and
improved functional outcomes among them. The resultant structural equation model showed a better fit to the data,
providing support for the integrated application of the Heckman selection model. The findings and the implications for
the improvement of patients’ rehabilitation outcomes are discussed. This study provides some theoretical and practical
implications for improving the patients’ recovery outcomes and their long-term development which aim to enhance the
healthcare qualities of future rehabilitation programs.
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