Evolution, progress of patients in rehabilitation centers

This postgraduate thesis investigates the course of patients hospitalized in rehabilitation centers, with an emphasis on functionality as a measurable clinical outcome and an indicator of social participation.The aim of the work is to systematically capture the factors that influence the outcome of rehabilitation, the comparative analysis of diagnostic groups and the mapping of outcome indicators used clinically.The methodology is based on a systematic review of international and Greek literature, utilizing scientific databases (PubMed, Scopus, Google Scholar) and focusing on publications from 2015 onwards.The inclusion criteria include studies in adult patients with neurological, musculoskeletal or cardiopulmonary diseases, who are included in organized in-hospital rehabilitation programs.The findings show that the functional status at admission, age, the severity of the initial event and the cognitive profile are strong predictors of outcome.Treatment intensity is positively correlated with functional improvement, while factors such as comorbidity, depression and lack of social support negatively affect the course.A multidisciplinary approach and coordination of interventions are fundamental prerequisites for effective rehabilitation.Assessment of the course requires a multidimensional measurement that combines functional indicators (FIM, Barthel Index), quality of life (EQ-5D-5L, PROMIS), discharge destination and patient-reported outcomes.Greek data highlight issues of access, uneven geographical distribution of structures and financial burden on patients.The work as a whole documents that rehabilitation constitutes a universal public health need and not a complementary provision.Its integration into the continuum of care, standardization of measurements and ensuring equitable access require systemic reforms at the level of health policy, financing and human resources.