Back to Search
Start Over
Post-acute care referral and inpatient rehabilitation admission criteria for persons with brain injury across two Canadian provinces.
- Source :
-
Disability and rehabilitation [Disabil Rehabil] 2018 Mar; Vol. 40 (6), pp. 697-704. Date of Electronic Publication: 2016 Dec 15. - Publication Year :
- 2018
-
Abstract
- Purpose: Investigate health care providers' perceptions of referral and admission criteria to brain injury inpatient rehabilitation in two Canadian provinces.<br />Methods: Health care providers (nā=ā345) from brain injury programs (13 acute care and 16 rehabilitation facilities) participated in a cross-sectional web-based survey. The participants rated the likelihood of patients (traumatic brain injury and cerebral hypoxia) to be referred/admitted to rehabilitation and the influence of 19 additional factors (e.g., tracheostomy). The participants reported the perceived usefulness of referral/admission policies and assessment tools used.<br />Results: Ninety-one percent acute care and 98% rehabilitation participants reported the person with traumatic brain injury would likely or very likely be referred/admitted to rehabilitation compared to respectively 43% and 53% for the patient with hypoxia. Two additional factors significantly decreased the likelihood of referral/admission: older age and the combined presence of minimal learning ability, memory impairment and physical aggression. Some significant inter-provincial variations in the perceived referral/admission procedure were observed. Most participants reported policies were helpful. Similar assessment tools were used in acute care and rehabilitation.<br />Conclusions: Health care providers appear to consider various factors when making decisions regarding referral and admission to rehabilitation. Variations in the perceived likelihood of referral/admission suggest a need for standardized referral/admission practices. Implications for Rehabilitation Various patient characteristics influence clinicians' decisions when selecting appropriate candidates for inpatient rehabilitation. In this study, acute care clinicians were less likely to refer patients that their rehabilitation counter parts would likely have admitted and a patient with hypoxic brain injury was less likely to be referred or admitted in rehabilitation than a patient with a traumatic brain injury. Such discrepancies suggest that policy-makers, managers and clinicians should work together to develop and implement more standardized referral practices and more specific admission criteria in order to ensure equitable access to brain injury rehabilitation services.
- Subjects :
- Adult
Aged
Canada epidemiology
Cross-Sectional Studies
Female
Humans
Hypoxia, Brain epidemiology
Inpatients statistics & numerical data
Male
Middle Aged
Patient Participation statistics & numerical data
Risk Factors
Tracheostomy statistics & numerical data
Brain Injuries epidemiology
Brain Injuries rehabilitation
Hypoxia, Brain rehabilitation
Neurological Rehabilitation organization & administration
Referral and Consultation standards
Subacute Care methods
Subacute Care organization & administration
Tracheostomy rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1464-5165
- Volume :
- 40
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Disability and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 27976928
- Full Text :
- https://doi.org/10.1080/09638288.2016.1262911