BARRIERS TO POSTOPERATIVE REHABILITATION AMONG ORTHOPEDIC PATIENTS IN PUBLIC SECTOR HOSPITALS

Abstract

Postoperative rehabilitation is an essential component of orthopedic recovery, contributing to the restoration of physical functioning, mobility, and independence. However, patients in resource-constrained healthcare environments frequently experience difficulties accessing and maintaining rehabilitation services. This study explores the barriers affecting postoperative rehabilitation among orthopedic patients in three public sector hospitals in Lahore, Pakistan. The research examines financial, institutional, physical, psychological, and social factors influencing rehabilitation participation. A qualitative exploratory research design is proposed, using an dataset of 90 patients, with 30 participants assigned to each hospital. Participants are represented across different age groups and genders. Semi-structured interview responses are constructed for academic demonstration and analyzed thematically. The findings identify six major barriers: financial constraints, inadequate rehabilitation infrastructure, shortage of physiotherapists, transportation difficulties, postoperative pain and psychological distress, and insufficient family support and patient awareness. The analysis highlights the interaction between socioeconomic circumstances and institutional limitations in determining rehabilitation accessibility. The study argues that surgical intervention alone cannot ensure successful recovery without continuous rehabilitation and appropriate follow-up. Strengthening physiotherapy departments, improving referral mechanisms, providing patient education, and introducing affordable rehabilitation services may improve treatment continuity. The research offers a proposed framework for understanding postoperative rehabilitation challenges and developing patient-centered interventions in public sector healthcare settings.