Rafeedie Samia, Metzler Christina, Lamb Amy J
Samia Rafeedie, OTD, OTR/L, BCPR, is an Associate Professor of Clinical Occupational Therapy, Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles;
Christina Metzler is Chief Public Affairs Officer, American Occupational Therapy Association, Bethesda, MD.
Am J Occup Ther. 2018 Jul/Aug;72(4):7204090010p1-7204090010p6. doi: 10.5014/ajot.2018.724003.
Ensuring that older adults are receiving quality and effective rehabilitation and skilled nursing services must be a priority to society and to the health care system, but health care policies and systems driving reimbursement continue to challenge the delivery of services. A review of the literature indicates significant problems among residents of skilled nursing facilities (SNFs) that could be alleviated by meaningful occupational therapy. Research and practice in the occupational therapy community should focus on this large area of practice. Advocacy by individual practitioners-challenging themselves and others to provide more patient-centered care-can lead to changes that benefit clients, facilities, and payment systems as well as contribute to career satisfaction of occupational therapy practitioners. Occupational therapy can and should serve as catalyst for culture change in SNFs by providing meaningful interventions and opportunities that support engagement and health.
确保老年人获得优质有效的康复和专业护理服务，这对于社会和医疗保健系统而言都必须是优先事项，但推动报销的医疗保健政策和系统仍在对服务的提供构成挑战。文献综述表明，专业护理机构（SNFs）的居民中存在重大问题，而有意义的职业治疗可以缓解这些问题。职业治疗领域的研究和实践应聚焦于这一广阔的实践领域。个体从业者的倡导——挑战自己和他人提供更以患者为中心的护理——可以带来有利于客户、机构和支付系统的变革，同时也有助于职业治疗从业者的职业满意度。职业治疗可以而且应该通过提供支持参与和健康的有意义干预措施和机会，成为专业护理机构文化变革的催化剂。
