<b>Unmet needs to admission in physical and rehabilitation inpatient department in Low and Middle Income Countries</b>

Determining the needs to access to rehabilitation’s structures is fundamental to base improving strategies. The objective of this study is to determine the percentage of unmet needs to admission to rehabilitation and its associated factors.A cross sectional study in a tertiary care center, including all requests to admission. Demographic features and disease of patient, decision of admission and outcomes after decision were collected for all requests to admission.In this study, 329 admission were received and 316 of which were eligible for admission. Mean age was 45 years old with sex-ratio=0.84. Most of requests were from our outpatient department, neurology and orthopedics of the same hospital. Observations showed that requests were from. From the whole requests 40.5% were non-admitted. Decision to non-admission was associated to non-neurological diseases and patient’s residency.
DiscussionThrow this descriptive study, we have shown that the unmet needs to admission in rehabilitation structures is High. This is due to the lack of rehabilitation our country. Literature show that this lack in universal and more disabled patients with neurological and traumatic diseases and patient from the same health sector are prioritized to have inpatient care. In developed countries, there are skilled rehabilitation centers for each disease which is not available in our country.This study should be a base of evidence of the lack and inequity of access to inpatient rehabilitation’s facilities and it is an emergency to implement such structures at least in each district of the country.