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A Conceptual Model of Hybrid Monitoring Rehabilitation Progress of Stroke Patients: A Case Study of a Public Tertiary Hospital in Malaysia

机译:混合监测中风患者康复进程的概念模型:以马来西亚一家公立三级医院为例

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Rehabilitation in healthcare systems provides therapy and training to restore quality life after certain illness, addiction or accident. Currently, there is a significant unmet need for rehabilitation services, and it is frequently undervalued in the health system. As populations age and the prevalence of noncommunicable diseases and injuries increases, and the demand for rehabilitation grows, strengthening rehabilitation in health systems becomes ever more paramount. Conventional rehabilitation service can be costly and time consuming to people not living near the rehabilitation centres. Often people with lower income who live in rural areas refuse rehabilitation services due to the logistic issue. On the other hand, in urban areas, most people are too busy with their daily activities and unable to keep their therapy schedule consistently. In consequence, patients do not enjoy the actual benefit of rehabilitation because of a certain limitation such as cost and time. These limitations can be surpassed by putting telerehabilitation, an emerging area of performing rehabilitation medical treatment with the use of technology from a distance into practice. Scientific studies of telerehabilitation in the current literature are discussing primarily in the area of readiness, technologies, and illnesses such as children autism and heart failure. However, there is limited evidence about telerehabilitation service for stroke patients, concentrating on the pre-implementation and implementation stages, which makes this paper viable and significant, potentially for telerehabilitation implementation in Malaysia. This paper proposes a new conceptual model of hybrid telerehabilitation that combines several technological principles, such as cloud, virtual reality, and computer-based system. The model was derived based on a study of a public tertiary hospital in Malaysia. The current traditional system was investigated and discussed. A new telerehabilitation model is proposed to widen the access for rehabilitation to patients of all ages.
机译:医疗保健系统中的康复提供治疗和培训,以在某些疾病,成瘾或事故后恢复优质生活。当前,对康复服务的需求尚未得到满足,并且在卫生系统中经常被低估。随着人口的老龄化以及非传染性疾病和伤害的流行增加,以及对康复的需求不断增长,加强卫生系统的康复变得越来越重要。对于不在康复中心附近居住的人们而言,常规的康复服务可能既昂贵又费时。通常,生活在农村地区的低收入者由于后勤问题而拒绝提供康复服务。另一方面,在城市地区,大多数人太忙于日常活动,无法始终保持治疗时间表。结果,由于诸如费用和时间的某些限制,患者不能享受康复的实际好处。通过将远程康复技术带入实践,可以克服这些限制,远程康复技术是通过使用远距离技术进行康复医学治疗的新兴领域。当前文献中对远程康复的科学研究主要在准备,技术和疾病如儿童自闭症和心力衰竭方面进行讨论。但是,关于中风患者的远程康复服务的证据很少,主要集中在预实施和实施阶段,这使本文可行且有意义,有可能在马来西亚实施远程康复。本文提出了一种混合远程康复的新概念模型,该模型结合了多种技术原理,例如云,虚拟现实和基于计算机的系统。该模型是根据对马来西亚一家公立三级医院的研究得出的。对当前的传统系统进行了研究和讨论。提出了一种新的远程康复模型,以扩大所有年龄段患者的康复机会。

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