TY - JOUR
T1 - Quality in rehabilitation after a working age person has sustained a fracture
T2 - Partnership contributes to continuity
AU - Lindahl, Marianne
AU - Hvalsoe, Berit
AU - Poulsen, Jeppe Rosengaard
AU - Langberg, Henning
PY - 2013/1/1
Y1 - 2013/1/1
N2 - OBJECTIVE: Research in quality of rehabilitation has mostly concerned patients with chronic diseases, but the aim of the present study was to investigate what constitutes good quality in rehabilitation after a person has sustained a fracture at working age, from both patients' and therapists' perspectives. PARTICIPANTS: Seven patients with bone fracture, aged 32-60 years, and 23 occupational therapists and physiotherapists from hospitals, municipalities and private practices in Denmark. METHODS: Qualitative study with in-depth semi-structured interviews. Data were analyzed according to grounded theory method. RESULTS: Partnership was a central theme that was constituted by continuity of rehabilitation and therapists' use of a patient-centred approach. Patients' experiences of continuity of rehabilitation was supported, not only by organizational factors, but depended also on values constituting the patient-centred approach. Therapists used their professional network to refine the transition process from hospital into the community, but there was no co-operation between departments in the municipalities about patients' return to work. CONCLUSIONS: The study suggests that patients with acute injuries need partnership, respect, and understanding through the rehabilitation course. Personal relations were important for continuity of rehabilitation (i.e. that organizational quality depended more on therapists' efforts to promote continuity for the patient than organizational tools).
AB - OBJECTIVE: Research in quality of rehabilitation has mostly concerned patients with chronic diseases, but the aim of the present study was to investigate what constitutes good quality in rehabilitation after a person has sustained a fracture at working age, from both patients' and therapists' perspectives. PARTICIPANTS: Seven patients with bone fracture, aged 32-60 years, and 23 occupational therapists and physiotherapists from hospitals, municipalities and private practices in Denmark. METHODS: Qualitative study with in-depth semi-structured interviews. Data were analyzed according to grounded theory method. RESULTS: Partnership was a central theme that was constituted by continuity of rehabilitation and therapists' use of a patient-centred approach. Patients' experiences of continuity of rehabilitation was supported, not only by organizational factors, but depended also on values constituting the patient-centred approach. Therapists used their professional network to refine the transition process from hospital into the community, but there was no co-operation between departments in the municipalities about patients' return to work. CONCLUSIONS: The study suggests that patients with acute injuries need partnership, respect, and understanding through the rehabilitation course. Personal relations were important for continuity of rehabilitation (i.e. that organizational quality depended more on therapists' efforts to promote continuity for the patient than organizational tools).
U2 - 10.3233/wor-121498
DO - 10.3233/wor-121498
M3 - Journal article
C2 - 23324675
SN - 1051-9815
VL - 44
SP - 177
EP - 189
JO - Work: A Journal of Prevention, Assessment & Rehabilitation
JF - Work: A Journal of Prevention, Assessment & Rehabilitation
IS - 2
ER -