[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.
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[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.
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