Understanding the Provision of Assistive Mobility and Daily Living Devices and Service Delivery to Veterans After Stroke / John A. KAIRALLA in American Journal of Occupational Therapy, Vol. 70/1 (janvier-février 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/1 (janvier-février 2016) Titre : Understanding the Provision of Assistive Mobility and Daily Living Devices and Service Delivery to Veterans After Stroke Type de document : texte imprimé Auteurs : John A. KAIRALLA ; Sandra L. WINKLER ; Hua FENG Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Dispositif  Organisation soins  Assistance Résumé : OBJECTIVE. The objective of this study was to determine whether facility-level, structural factors affect the provision of assistive devices and services. DESIGN. A retrospective design was used. Activities of daily living and mobility-related devices were categorized into 11 types. Logistic regression models were performed for each type of device, controlling for patient-level and facility-level covariates. RESULTS. Non–veteran-level factors significantly affect the provision of assistive devices, even after covariate adjustment. Increased rehabilitation clinician staffing by 1 full-time equivalent position was associated with increased provision odds of 1%–5% for 5 of 11 types of devices. Lower facility complexity was significantly associated with increased provision odds of 35%–59% for 3 types of devices and with decreased provision odds of 16%–69% for 3 types of devices. CONCLUSION. System-level factors, in addition to patient need, significantly affect the provision of assistive devices. Provision guidelines could assist clinicians in making decisions about device provision. Permalink : ./index.php?lvl=notice_display&id=42023 [article] Understanding the Provision of Assistive Mobility and Daily Living Devices and Service Delivery to Veterans After Stroke [texte imprimé] / John A. KAIRALLA ; Sandra L. WINKLER ; Hua FENG . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/1 (janvier-février 2016) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Dispositif  Organisation soins  Assistance Résumé : OBJECTIVE. The objective of this study was to determine whether facility-level, structural factors affect the provision of assistive devices and services. DESIGN. A retrospective design was used. Activities of daily living and mobility-related devices were categorized into 11 types. Logistic regression models were performed for each type of device, controlling for patient-level and facility-level covariates. RESULTS. Non–veteran-level factors significantly affect the provision of assistive devices, even after covariate adjustment. Increased rehabilitation clinician staffing by 1 full-time equivalent position was associated with increased provision odds of 1%–5% for 5 of 11 types of devices. Lower facility complexity was significantly associated with increased provision odds of 35%–59% for 3 types of devices and with decreased provision odds of 16%–69% for 3 types of devices. CONCLUSION. System-level factors, in addition to patient need, significantly affect the provision of assistive devices. Provision guidelines could assist clinicians in making decisions about device provision. Permalink : ./index.php?lvl=notice_display&id=42023

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