Cultura

Optimizing Patient Recovery Across Healthcare Settings: A Comprehensive Review Of Clinical, Organizational, And Multidisciplinary Recovery-Oriented Strategies

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Abdullah Salih Al-Ghamdi, Abdulrahman Muner Aldosari, Saad Mohammed Saad Aldosari, Sharah Ali Mesfer Albishi, Fowzaih Mashhan Faiz Albishi
Badriya Saad Alnajaash, Norah Ali Saad Albishi, Huda Ali Abdullah Alharthi, Saleha Hadi Hamad Al Zaid, Asem Saeed Alghamdi

Abstract

Patient recovery has increasingly emerged as a core indicator of healthcare quality, extending beyond short-term clinical stabilization to encompass functional restoration, psychological well-being, and long-term quality of life. Contemporary healthcare systems face growing challenges related to patient complexity, fragmented care delivery, and rising expectations for value-based and patient-centered outcomes. This comprehensive review synthesizes current evidence on recovery-oriented strategies that operate across clinical, organizational, and multidisciplinary domains to optimize patient recovery in diverse healthcare settings. Drawing on recent literature, the review examines evidence-based clinical interventions, coordinated care pathways, organizational enablers, and collaborative team-based practices that collectively influence recovery trajectories. In addition, the role of digital health tools and system-level integration in supporting continuity of care and monitoring recovery progress is explored. The findings highlight that patient recovery is a multidimensional, system-driven outcome shaped by the interaction of effective clinical care, supportive organizational structures, and cohesive multidisciplinary collaboration. The review emphasizes the need for integrated recovery-oriented care models that align clinical excellence with organizational efficiency and patient engagement. Such models have the potential to enhance recovery outcomes, improve patient experience, and support sustainable healthcare system performance.

Keywords : Patient recovery; recovery-oriented care; clinical strategies; multidisciplinary collaboration; healthcare quality; care coordination.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty