Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada; Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, Ontario, Canada.
Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.
Arch Phys Med Rehabil. 2024 Feb;105(2):268-279. doi: 10.1016/j.apmr.2023.07.010. Epub 2023 Aug 2.
We aimed to describe the prevalence of unmet rehabilitation needs among a sample of Canadians living with long-term conditions or disabilities during the first wave of the COVID-19 pandemic.
Cross-sectional survey.
Individuals residing in Canada during the first wave of the COVID-19 pandemic.
Eligible participants were Canadians living with long-term conditions or disabilities, 15 years or older living in 1 of the 10 provinces or 3 territories (n=13,487).
Not applicable.
We defined unmet rehabilitation needs as those who reported needing rehabilitation (ie, physiotherapy/massage therapy/chiropractic, speech, or occupational therapy, counseling services, support groups) but did not receive it because of the COVID-19 pandemic. We calculated the national, age, gender, and province/territory-specific prevalence and 95% confidence interval of unmet rehabilitation needs.
During the first wave of the pandemic, the prevalence of unmet rehabilitation needs among Canadians with long-term conditions or disabilities was 49.3% (95% confidence interval [CI]; 48.3, 50.3]). The age-specific prevalence was higher among individuals 15-49 years old (55.6%; 95% CI [54.2, 57.1]) than those 50 years and older (46.0%; 95% CI [44.5, 47.4]). Females (53.7%; 95% CI [52.6, 54.9]) had higher unmet needs than males (44.1%; 95% CI [42.3, 45.9]). Unmet rehabilitation needs varied across provinces and territories.
In this sample, almost 50% of Canadians living with long-term conditions or disabilities had unmet rehabilitation needs during the first wave of the COVID-19 pandemic. This suggests that a significant gap between the needs for and delivery of rehabilitation care existed during the early phase of the pandemic.
本研究旨在描述 COVID-19 大流行第一波期间，患有长期疾病或残疾的加拿大人中存在的未满足康复需求的流行情况。
横断面调查。
COVID-19 大流行第一波期间居住在加拿大的个人。
符合条件的参与者为患有长期疾病或残疾的 15 岁及以上的加拿大居民，居住在 10 个省或 3 个地区中的 1 个（n=13487）。
无。
我们将未满足的康复需求定义为那些报告需要康复（即物理治疗/按摩疗法/脊骨疗法、言语治疗、职业治疗、咨询服务、支持小组）但由于 COVID-19 大流行而未获得康复的人。我们计算了全国、年龄、性别以及省/地区特定的未满足康复需求的流行率和 95%置信区间。
在大流行的第一波期间，患有长期疾病或残疾的加拿大人中未满足康复需求的比例为 49.3%（95%置信区间[CI]；48.3，50.3]）。在 15-49 岁的个体中，特定年龄的患病率较高（55.6%；95% CI [54.2，57.1]），而 50 岁及以上的个体患病率较低（46.0%；95% CI [44.5，47.4]）。女性（53.7%；95% CI [52.6，54.9]）的未满足需求高于男性（44.1%；95% CI [42.3，45.9]）。未满足的康复需求在各省和地区之间存在差异。
在本研究样本中，COVID-19 大流行第一波期间，近 50%的患有长期疾病或残疾的加拿大人存在未满足的康复需求。这表明在大流行的早期阶段，康复护理的需求与提供之间存在显著差距。
