An Exploratory Study Investigating Factors Influencing the Outpatient Delivery of Geriatric Rehabilitation

被引:2
|
作者
Prins, Lidy A. P. [1 ]
Gamble, Chris J. J. [1 ,2 ]
van Isselt, Eleonore F. van Dam [3 ]
Stammen, Romy A. I. [4 ]
Ettaibi, Ahlam [4 ]
Creemers, Ilse A. M. [4 ]
van Haastregt, Jolanda C. M. [1 ]
机构
[1] Maastricht Univ, CAPHRI Care & Publ Hlth Res Inst, Fac Hlth Med & Life Sci, Dept Hlth Serv Res, NL-6229 ER Maastricht, Netherlands
[2] Stichting Valkenhof, NL-5555 KL Valkenswaard, Netherlands
[3] Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, NL-2333 ZA Leiden, Netherlands
[4] Maastricht Univ, Fac Hlth Med & Life Sci, NL-6229 ER Maastricht, Netherlands
关键词
geriatric rehabilitation; outpatient; home-based; facility-based; frail older people; barriers; case study; CARE;
D O I
10.3390/jcm12155045
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Outpatient delivery of geriatric rehabilitation (GR) might contribute to preserving the accessibility and quality of GR, whilst dealing with an increasing demand for healthcare in an aging population. However, the application of outpatient GR differs between GR facilities. This study aimed to gain insight into factors influencing outpatient GR utilization. Methods: In this case study, 24 semi-structured interviews were conducted with physicians, physiotherapists, nurse practitioners, occupational therapists, and managers in GR. Interviews were transcribed and analyzed using summative content analysis. Results: Various patient-related barriers for using outpatient GR were mentioned including lacking social support and limited capacities and self-management skills. Additionally, professional-related barriers included a lack of awareness and consensus among care professionals regarding the possibilities and potential advantages of outpatient GR. Yet, most perceived barriers were related to efficiency and organization of outpatient GR (e.g., reimbursement system, lacking practical guidance). Still, most participants were in favor of increasing outpatient GR because of expected advantages for patients, GR organizations, and society. Conclusions: Despite experienced barriers, there seems to be agreement on the need to increase outpatient GR application. It is recommended to use the present findings to develop and evaluate new ways of organizing and reimbursing outpatient GR.
引用
收藏
页数:11
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