Post-ACL Rupture Integrated Rehabilitative Pathway: Factors Influencing Economic Resources Absorption

Abstract

To investigate the drivers that might influence the patient’s integrated rehabilitative pathway, after the rupture of the anterior cruciate ligament (ACL), in terms of economic resources absorption. Materials and Methods: An observational study, conducted in two private rehabilitation hospitals located in Italy, was conducted to obtain real-world data concerning the integrated rehabilitative pathway of 118 patients. Patients’ data were analysed adopting three methodological approaches. the predictors of the dependent variable. statistical approaches, comparative-configurational Results: Results reported that older age (β=0.145, p=0.049), higher sportiness level (β=0.169, p=0.022), as well as the length of the integrated rehabilitative pathway (β=0.550, p-value=0.000) and the performance of threshold tests (β=0.389, p-value =0.000) are antecedents of higher management costs (Adjusted R²=0.703 and F=24.482). Summarizing QCA results, age, and the level of sportiness of patients, in combination with the compliance, play an important role in the emergence of the selected and analyzed management costs. Conclusions: Findings could be useful for the optimization of integrated rehabilitative pathway, thus becoming more efficient and effective, guaranteeing a process personalization, consistent with efficiency-driven and cost-containment strategies.