Prins Lidy A P, Gamble Chris J, van Dam van Isselt Eléonore F, Stammen Romy A I, Ettaibi Ahlam, Creemers Ilse A M, van Haastregt Jolanda C M
Department of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, 6229 ER Maastricht, The Netherlands.
Stichting Valkenhof, 5555 KL Valkenswaard, The Netherlands.
J Clin Med. 2023 Jul 31;12(15):5045. doi: 10.3390/jcm12155045.
Outpatient delivery of geriatric rehabilitation (GR) might contribute to preserving the accessibility and quality of GR, whilst dealing with an increasing demand for healthcare in an aging population. However, the application of outpatient GR differs between GR facilities. This study aimed to gain insight into factors influencing outpatient GR utilization.
In this case study, 24 semi-structured interviews were conducted with physicians, physiotherapists, nurse practitioners, occupational therapists, and managers in GR. Interviews were transcribed and analyzed using summative content analysis.
Various patient-related barriers for using outpatient GR were mentioned including lacking social support and limited capacities and self-management skills. Additionally, professional-related barriers included a lack of awareness and consensus among care professionals regarding the possibilities and potential advantages of outpatient GR. Yet, most perceived barriers were related to efficiency and organization of outpatient GR (e.g., reimbursement system, lacking practical guidance). Still, most participants were in favor of increasing outpatient GR because of expected advantages for patients, GR organizations, and society.
Despite experienced barriers, there seems to be agreement on the need to increase outpatient GR application. It is recommended to use the present findings to develop and evaluate new ways of organizing and reimbursing outpatient GR.
老年康复门诊服务可能有助于在应对老年人口日益增长的医疗保健需求的同时，保持老年康复服务的可及性和质量。然而，老年康复门诊服务在不同的康复机构中的应用情况有所不同。本研究旨在深入了解影响老年康复门诊服务利用的因素。
在本案例研究中，对老年康复领域的医生、物理治疗师、执业护士、职业治疗师和管理人员进行了24次半结构化访谈。访谈内容经转录后采用总结性内容分析法进行分析。
提及了使用老年康复门诊服务的各种与患者相关的障碍，包括缺乏社会支持、能力有限以及自我管理技能不足。此外，与专业相关的障碍包括护理专业人员对老年康复门诊服务的可能性和潜在优势缺乏认识和共识。然而，大多数感知到的障碍与老年康复门诊服务的效率和组织有关（例如，报销系统、缺乏实际指导）。尽管如此，由于预期对患者、康复机构和社会有好处，大多数参与者赞成增加老年康复门诊服务。
尽管存在各种障碍，但对于增加老年康复门诊服务的应用需求似乎已达成共识。建议利用本研究结果来开发和评估组织和报销老年康复门诊服务的新方法。
