Managing Multidisciplinary Rehabilitation as a Value Chain: Economic, Human Resource, Legal and Community Dimensions of Sustainable Rehabilitation Services

Abstract

Rehabilitation services combine clinical, psychological, social and vocational inputs, yet their sustainability depends on managerial and commercial foundations that are rarely examined alongside clinical outcomes. This conceptual article treats multidisciplinary rehabilitation as a value chain and analyses five commerce and management dimensions: return on investment in mental health and wellbeing programmes, human resource and employment-law compliance, legal risk management, financial inclusion and community-based empowerment, and technology and sustainability practices. The study uses a structured narrative review of ten published works from the commerce and management literature. It finds that (i) investment in psychological wellbeing is best evaluated as an economic return and not as a cost, (ii) compliant and supportive people-management systems underpin service quality, (iii) proactive legal risk management protects continuity of care, (iv) financial access and group-based community models widen participation of marginalised persons, and (v) sustainable and technology-enabled practices strengthen long-term viability. The article proposes an integrated managerial framework for rehabilitation institutions and identifies directions for empirical testing.