Gustavson Allison M, Boxer Rebecca S, Nordon-Craft Amy, Marcus Robin L, Daddato Andrea, Stevens-Lapsley Jennifer E
Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO.
Division of Geriatric Medicine, Department of Medicine, University of Colorado, Aurora, CO.
Phys Ther J Policy Adm Leadersh. 2018 Aug;18(3):5-16.
There is growing recognition that acute hospitalization contributes to marked functional decline in older adult populations. Nearly 20% of all hospitalized older adults in the United States are discharged to skilled nursing facilities (SNFs) to address these functional deficits. However, current approaches to care in SNFs may not adequately restore function, which may contribute to low community discharge rates and high hospital readmission rates. Barriers to rehabilitation innovation in SNFs include management, staff, patient, and researcher-level factors. This clinical commentary builds upon clinical innovation strategies in other health care settings by describing barriers in the context of the SNF environment. Fostering collaboration between academic clinical researchers and SNFs may be the answer to advancing rehabilitation practices and care delivery, thereby improving outcomes in this vulnerable population.
越来越多的人认识到，急性住院会导致老年人群体出现明显的功能衰退。在美国，近20%的住院老年人出院后会前往专业护理机构（SNFs）以解决这些功能缺陷。然而，目前SNFs的护理方法可能无法充分恢复功能，这可能导致社区出院率低和医院再入院率高。SNFs康复创新的障碍包括管理、工作人员、患者和研究人员层面的因素。本临床评论通过描述SNF环境背景下的障碍，借鉴了其他医疗保健环境中的临床创新策略。促进学术临床研究人员与SNFs之间的合作可能是推进康复实践和护理服务的答案，从而改善这一弱势群体的治疗效果。
