Sociodemographic and clinical characteristics and barriers of the health system in amputated patients with or without prostheses
DOI:
https://doi.org/10.28957/rcmfr.443Keywords:
Amputation, lower limb prosthesis, Barriers to accessing healthcare servicesAbstract
Introduction and Objective. Globally, only 5%-15% of those in need of assistive devices can access them. We identified the sociodemographic and clinical characteristics, as well as the barriers within the Colombian Health System for patients with lower limb amputation.
Methods. A 24-month longitudinal follow-up was conducted with 122 patients divided into two groups: those who received prostheses and those who did not. Of the initial 201 patients, 36 could not be contacted, and 43 passed away. Evaluations were performed at three intervals: 3-6 months, 6-12 months, and 12-24 months.
Results. 61.4% received prostheses; among those amputated due to trauma, this percentage was 90.4%. Prosthesis delivery gradually increased after 12 months. The average time from amputation to receiving the prosthesis was 425 days (IQR [297, 502]). Medical etiology accounted for 82.8% in both groups, with transfemoral level predominance (62.3%). The main barriers to prosthetic provision were availability of medical appointments, delays in authorizations by EPS, lack of economic resources for transportation, and distance to rehabilitation centers.
Conclusion. Barriers prolonging or, in some cases, preventing prosthesis delivery were identified. These include scarcity of medical appointments, authorization delays, and economic and geographical limitations.
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