Access to rehabilitation services for older adults living with dementia or in a residential aged care facility following a hip fracture: healthcare professionals’ views

Rebecca Mitchell, Diana Fajardo Pulido, Tayhla Ryder, Grace Norton, Henry Brodaty, Brian Draper, Jacqueline C. T. Close, Frances Rapport, Reidar Lystad, Ian Harris, Lara Harvey, Cathie Sherrington, Ian D. Cameron, Jeffrey Braithwaite

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Purpose: To enhance understanding of access to rehabilitation services in Australian and New Zealand acute care facilities for older adults living with dementia and/or living in residential aged care facilities (RACFs) following a hip fracture. Methods: Information on hip fracture rehabilitation was obtained from an online survey of 40 health professionals who were members of the Australian and New Zealand Hip Fracture Registry Network. This information was supplemented with key informant interviews with five geriatricians and five rehabilitation physicians. Results: Availability of hip fracture rehabilitation services differed by region and country. Around one in 10 respondents indicated that their facility had specific rehabilitation protocols for people living in RACFs or who were living with dementia. Barriers to providing hip fracture rehabilitation were commonly related to availability of resources. Rehabilitation pathways were determined according to individual patient characteristics and perceived potential benefit. Decision making was mainly informed by the patient's pre-fracture morbidity and residence. Three key themes and nine sub-themes emerged from the interviews. Conclusions: The development of consistent decision criteria and pathways for access to hip fracture rehabilitation could provide a standard approach to access to rehabilitation, particularly for patients with cognitive impairment and/or who reside in RACFs.

LanguageEnglish
Pages1-12
Number of pages12
JournalDisability and Rehabilitation
DOIs
Publication statusE-pub ahead of print - 23 Jul 2019

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Hip Fractures
Dementia
Rehabilitation
Delivery of Health Care
New Zealand
Interviews
Health Surveys
Registries
Decision Making
Morbidity
Physicians

Cite this

Mitchell, Rebecca ; Fajardo Pulido, Diana ; Ryder, Tayhla ; Norton, Grace ; Brodaty, Henry ; Draper, Brian ; Close, Jacqueline C. T. ; Rapport, Frances ; Lystad, Reidar ; Harris, Ian ; Harvey, Lara ; Sherrington, Cathie ; Cameron, Ian D. ; Braithwaite, Jeffrey. / Access to rehabilitation services for older adults living with dementia or in a residential aged care facility following a hip fracture : healthcare professionals’ views. In: Disability and Rehabilitation. 2019 ; pp. 1-12.
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abstract = "Purpose: To enhance understanding of access to rehabilitation services in Australian and New Zealand acute care facilities for older adults living with dementia and/or living in residential aged care facilities (RACFs) following a hip fracture. Methods: Information on hip fracture rehabilitation was obtained from an online survey of 40 health professionals who were members of the Australian and New Zealand Hip Fracture Registry Network. This information was supplemented with key informant interviews with five geriatricians and five rehabilitation physicians. Results: Availability of hip fracture rehabilitation services differed by region and country. Around one in 10 respondents indicated that their facility had specific rehabilitation protocols for people living in RACFs or who were living with dementia. Barriers to providing hip fracture rehabilitation were commonly related to availability of resources. Rehabilitation pathways were determined according to individual patient characteristics and perceived potential benefit. Decision making was mainly informed by the patient's pre-fracture morbidity and residence. Three key themes and nine sub-themes emerged from the interviews. Conclusions: The development of consistent decision criteria and pathways for access to hip fracture rehabilitation could provide a standard approach to access to rehabilitation, particularly for patients with cognitive impairment and/or who reside in RACFs.",
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Access to rehabilitation services for older adults living with dementia or in a residential aged care facility following a hip fracture : healthcare professionals’ views. / Mitchell, Rebecca; Fajardo Pulido, Diana; Ryder, Tayhla; Norton, Grace; Brodaty, Henry; Draper, Brian; Close, Jacqueline C. T.; Rapport, Frances; Lystad, Reidar; Harris, Ian; Harvey, Lara; Sherrington, Cathie; Cameron, Ian D.; Braithwaite, Jeffrey.

In: Disability and Rehabilitation, 23.07.2019, p. 1-12.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Access to rehabilitation services for older adults living with dementia or in a residential aged care facility following a hip fracture

T2 - Disability and Rehabilitation

AU - Mitchell,Rebecca

AU - Fajardo Pulido,Diana

AU - Ryder,Tayhla

AU - Norton,Grace

AU - Brodaty,Henry

AU - Draper,Brian

AU - Close,Jacqueline C. T.

AU - Rapport,Frances

AU - Lystad,Reidar

AU - Harris,Ian

AU - Harvey,Lara

AU - Sherrington,Cathie

AU - Cameron,Ian D.

AU - Braithwaite,Jeffrey

PY - 2019/7/23

Y1 - 2019/7/23

N2 - Purpose: To enhance understanding of access to rehabilitation services in Australian and New Zealand acute care facilities for older adults living with dementia and/or living in residential aged care facilities (RACFs) following a hip fracture. Methods: Information on hip fracture rehabilitation was obtained from an online survey of 40 health professionals who were members of the Australian and New Zealand Hip Fracture Registry Network. This information was supplemented with key informant interviews with five geriatricians and five rehabilitation physicians. Results: Availability of hip fracture rehabilitation services differed by region and country. Around one in 10 respondents indicated that their facility had specific rehabilitation protocols for people living in RACFs or who were living with dementia. Barriers to providing hip fracture rehabilitation were commonly related to availability of resources. Rehabilitation pathways were determined according to individual patient characteristics and perceived potential benefit. Decision making was mainly informed by the patient's pre-fracture morbidity and residence. Three key themes and nine sub-themes emerged from the interviews. Conclusions: The development of consistent decision criteria and pathways for access to hip fracture rehabilitation could provide a standard approach to access to rehabilitation, particularly for patients with cognitive impairment and/or who reside in RACFs.

AB - Purpose: To enhance understanding of access to rehabilitation services in Australian and New Zealand acute care facilities for older adults living with dementia and/or living in residential aged care facilities (RACFs) following a hip fracture. Methods: Information on hip fracture rehabilitation was obtained from an online survey of 40 health professionals who were members of the Australian and New Zealand Hip Fracture Registry Network. This information was supplemented with key informant interviews with five geriatricians and five rehabilitation physicians. Results: Availability of hip fracture rehabilitation services differed by region and country. Around one in 10 respondents indicated that their facility had specific rehabilitation protocols for people living in RACFs or who were living with dementia. Barriers to providing hip fracture rehabilitation were commonly related to availability of resources. Rehabilitation pathways were determined according to individual patient characteristics and perceived potential benefit. Decision making was mainly informed by the patient's pre-fracture morbidity and residence. Three key themes and nine sub-themes emerged from the interviews. Conclusions: The development of consistent decision criteria and pathways for access to hip fracture rehabilitation could provide a standard approach to access to rehabilitation, particularly for patients with cognitive impairment and/or who reside in RACFs.

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