Lipson-Smith Ruby, Zeeman Heidi, Bernhardt Julie
Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Victoria.
NHMRC Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery, Melbourne, Victoria.
Arch Rehabil Res Clin Transl. 2020 Jan 16;2(1):100040. doi: 10.1016/j.arrct.2020.100040. eCollection 2020 Mar.
To identify all the services that offer inpatient rehabilitation in Victoria, Australia, and to describe the buildings in which these services are housed, including their size, age, whether or not they were purpose-built, whether or not they are colocated with a tertiary hospital, the proportion of single-bed rooms, and ward layout.
Cross-sectional survey of inpatient rehabilitation buildings. Data were collected via telephone questionnaire and websites.
Sixty-four rehabilitation facilities were identified and all participated in the survey (37 public, 27 private).
Results revealed heterogeneity on most variables measured, including size (number of beds ranged from 2-104), age (oldest building built in 1860, and 26% built since 2010), purpose-built status (48% purpose-built), freestanding status (34% freestanding), percentage of single-bed rooms (ranged from 0%-100%), and layout. All facilities had a therapy gym, and most had a communal area (96%).
Since 2010, the proportion of buildings being purpose-built and colocated with a tertiary hospital has increased. The proportion of single-bed rooms has also increased and is especially high in privately funded facilities. Results suggest that rehabilitation design is influenced by norms and evidence from acute medical health care despite the purpose of care being different: acute care (short-term, medical illness) and rehabilitation (longer-term, recovery, relearning).
识别澳大利亚维多利亚州所有提供住院康复服务的机构，并描述这些服务所在建筑的情况，包括其规模、年代、是否为专门建造、是否与三级医院位于同一地点、单人病房的比例以及病房布局。
对住院康复建筑进行横断面调查。通过电话问卷和网站收集数据。
共识别出64个康复机构，所有机构均参与了调查（37个公立机构，27个私立机构）。
结果显示，在大多数测量变量上存在异质性，包括规模（床位数从2张到104张不等）、年代（最古老的建筑建于1860年，26%的建筑建于2010年之后）、专门建造状态（48%为专门建造）、独立状态（34%为独立建筑）、单人病房比例（从0%到100%不等）以及布局。所有机构都有治疗健身房，大多数机构有公共区域（96%）。
自2010年以来，专门建造且与三级医院位于同一地点的建筑比例有所增加。单人病房的比例也有所增加，在私人资助的机构中尤其高。结果表明，尽管护理目的不同（急性医疗护理为短期医疗疾病，康复护理为长期康复、重新学习），但康复设计仍受急性医疗保健的规范和证据影响。
