| Summary: | Today, there are differences between municipalities in how they organise their habilitation and rehabilitation services. We have systematically reviewed research about the effects of different ways of organising municipal habilitation and rehabilitation services to persons with neurological conditions. The research documentation is based on ten RCT's. The documentation includes mainly studies with small sample sizes and some of the studies are not relevant with respect to current medical practice. Within neurology, we have only found relevant documentation on the diagnosis stroke. Our main findings:1. Day-rehabilitation at a municipal health center may be an equally good way to organise the service when it comes to improving function in activities of daily living and also to improve balance compared with providing the rehabilitation service in the patient's home.2. Providing a larger amount of rehabilitation services may give a slight advantage compared to service provided less often (i.e. fewer meetings between patient and service providers per week) measured as higher scores on patient participation in society. These findings are based on studies that have included stroke patients who are not in need of 24-hour health services. This review shows that the organization of rehabilitation services is "broad" and may include the dimensions service provider, funding and service delivery. The overview reveals major knowledge gaps, including the effect of ways to organize municipal rehabilitation services to target groups such as children and young persons with neurological conditions, persons with progressive conditions, persons with severe cognitive-emotional problems and persons in need of 24-hour health services. It is important to strengthen the field with good effect studies
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