{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:23:06Z","timestamp":1787016186503,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T00:00:00Z","timestamp":1675296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Fonden","doi-asserted-by":"publisher","award":["NF18OC0051995"],"award-info":[{"award-number":["NF18OC0051995"]}],"id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Equal access to healthcare is a fundamental principle in the fully tax\u2010financed Danish healthcare system. This study reveals whether this system lives up to the principle of equal access when it comes to the rehabilitation of patients who have major lower extremity amputations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>With the aim of exploring possible inequality in rehabilitation for patients having major lower extremity amputation in Denmark, a nationwide electronic survey was conducted in the autumn of 2020, which included all hospitals and municipalities in Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty six percent of hospitals (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a019) and 97% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a095) of municipalities responded. Of the 32% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a06) of hospitals and 78% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a074) of municipalities that provided prosthesis rehabilitation, the majority (hospitals 50% \/municipalities 91%) provided prostheses for &lt;10 patients in 2019, and 36% reported having competencies at only a general level among physiotherapists performing prosthetic training. Psychosocial rehabilitation modalities were lacking overall.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This national study documents pronounced geographic inequality in access to qualified rehabilitation services for the relatively few patients undergoing lower extremity amputations in Denmark. The decentralised organisation of amputation rehabilitation makes it difficult to build and maintain specialist competencies among healthcare professionals. Inconsistent availability of psychosocial rehabilitation modalities of all kinds found in this study points to a need for action particularly among patients not in prosthetic rehabilitation where palliative needs should also be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.13144","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T04:28:39Z","timestamp":1675312119000},"page":"595-607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Considerable gaps and differences in rehabilitation after major lower extremity amputations across regions and municipalities in Denmark \u2013 A national survey"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9436-6887","authenticated-orcid":false,"given":"Ulla Riis","family":"Madsen","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Holbaek Hospital  Holbaek 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Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5098-5982","authenticated-orcid":false,"given":"Thomas","family":"Vedste\u00a0Aagaard","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Holbaek Hospital  Holbaek Denmark"},{"name":"Department of Physiotherapy and Occupational Therapy Holbaek Hospital  Holbaek Denmark"},{"name":"Department of Orthopaedic Surgery Zealand University Hospital  Koege Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"MadsenU PoppH HennebergE NikolajsenL JensenP LarsenL et al.National Klinisk retningslinje for perioperative behandling pleje samt tidlig rehabilitering til patienter som f\u00e5r foretaget st\u00f8rre benamputationer;2020.https:\/\/app.magicapp.org\/#\/guideline\/nyq8Zn"},{"key":"e_1_2_12_3_1","unstructured":"MadsenU PoppH LarsenL 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