Falvey Jason R, Burke Robert E, Malone Daniel, Ridgeway Kyle J, McManus Beth M, Stevens-Lapsley Jennifer E
J.R. Falvey, PT, DPT, Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Mail Stop C244, 13121 East 17th Ave, Room 3116, Aurora, CO 80045 (USA), and Denver Veterans Affairs Medical Center, Denver, Colorado.
R.E. Burke, MD, MS, Research and Hospital Medicine Sections, Denver VA Medical Center, and Department of Medicine, University of Colorado Anschutz Medical Campus.
Phys Ther. 2016 Aug;96(8):1125-34. doi: 10.2522/ptj.20150526. Epub 2016 Mar 3.
Hospital readmissions in older adult populations are an emerging quality indicator for acute care hospitals. Recent evidence has linked functional decline during and after hospitalization with an elevated risk of hospital readmission. However, models of care that have been developed to reduce hospital readmission rates do not adequately address functional deficits. Physical therapists, as experts in optimizing physical function, have a strong opportunity to contribute meaningfully to care transition models and demonstrate the value of physical therapy interventions in reducing readmissions. Thus, the purposes of this perspective article are: (1) to describe the need for physical therapist input during care transitions for older adults and (2) to outline strategies for expanding physical therapy participation in care transitions for older adults, with an overall goal of reducing avoidable 30-day hospital readmissions.
老年人群的医院再入院率是急性护理医院一个新出现的质量指标。最近的证据表明，住院期间及出院后的功能衰退与医院再入院风险升高有关。然而，为降低医院再入院率而制定的护理模式并未充分解决功能缺陷问题。物理治疗师作为优化身体功能的专家，有很大机会为护理过渡模式做出有意义的贡献，并证明物理治疗干预在减少再入院方面的价值。因此，这篇观点文章的目的是：（1）描述老年患者护理过渡期间物理治疗师参与其中的必要性；（2）概述扩大物理治疗在老年患者护理过渡中参与度的策略，总体目标是减少可避免的30天医院再入院情况。
