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[article]
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 |
in American Journal of Occupational Therapy > Vol. 70/1 (janvier-février 2016)
[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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