PTOtherArchives of physical medicine and rehabilitation2022

Reduced Requests for Medical Rehabilitation Because of the SARS-CoV-2 Pandemic: A Difference-in-Differences Analysis.

Matthias Bethge, David Fauser, Pia Zollmann and 1 others

PMID 34371015

WHAT IT FOUND

Germany's medical rehabilitation requests fell 14.5% from April to December 2020 compared with the same months in 2019, with a 41.1% drop in April.

Non-postacute requests fell more than postacute requests.

Key findings

01From April to December 2020, medical rehabilitation requests in Germany fell 14.5% compared with the same months in 2019, with the largest monthly drop in April.

02The reduction was larger for non-postacute rehabilitation requests, 16.4%, than for postacute requests, 9.7%.

03Regional SARS-CoV-2 incidence was associated with request reduction in April, May, and June, then weakened.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

The study counted rehabilitation requests, not completed services, so it cannot show how many people actually received rehabilitation. It used aggregated data, so it could not explain why individuals decided not to request rehabilitation. The period covered only 2019 and 2020, with the first wave, the summer, and the first part of the second wave, so it does not show later pandemic waves or long-term recovery. Some applications were excluded because sex or residency information was missing or because residency was abroad. The analysis compared one year with another and did not measure whether reduced rehabilitation capacity, postponed physician visits, or patient uncertainty contributed to the reduction.

The easy way to misread this

Do not read the 14.5% reduction as proof that rehabilitation need fell or that therapists should refer less. The study counted requests, not completed services, and could not explain why people did not request rehabilitation.

Read it on PubMed →