Post community hospital discharge rehabilitation attendance: Self-perceived barriers and participation over time
Annals of the Academy of Medicine, Singapore
;
: 136-144, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-285535
ABSTRACT
<p><b>INTRODUCTION</b>This study aimed to examine the attendance rates of post-discharge supervised rehabilitation as recommended by the multidisciplinary team at discharge among subacutely disabled adults and the barriers preventing adherence.</p><p><b>MATERIALS AND METHODS</b>Patients were from a community hospital, aged 40 years or older. They had been assessed by a multidisciplinary team to benefit from rehabilitation after discharge, were mentally competent and communicative. We used a sequential qualitative-quantitative mixed methods study design. In the initial qualitative phase, we studied the patient-perceived barriers to adherence to rehabilitation using semi-structured interviews. Emerging themes were then analysed and used to develop a questionnaire to measure the extent of these barriers. In the subsequent quantitative phase, the questionnaire was used with telephone follow-up at 3, 6, 9 and 12 months after discharge.</p><p><b>RESULTS</b>Qualitative phase interviews (n = 41) revealed specific perceived financial, social, physical and health barriers. At the start of the quantitative phase (n = 70), 87.1% of the patients viewed rehabilitation as beneficial, but overall longitudinal attendance rate fell from 100% as inpatient to 20.3% at 3 months, 9.8% at 6 months, 6.3% at 9 months and 4.3% at 12 months. The prevalence of physical and social barriers were high initially but decreased with time. In contrast, the prevalence of financial and perceptual barriers increased with time.</p><p><b>CONCLUSION</b>Attendance of post-hospitalisation rehabilitation in Singapore is low. Self-perceived barriers to post-discharge rehabilitation attendance were functional, social, financial and perceptual, and their prevalence varied with time.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Sortie du patient
/
Réadaptation
/
Concept du soi
/
Facteurs temps
/
Enquêtes et questionnaires
/
Observance par le patient
/
Recherche qualitative
/
Accessibilité des services de santé
/
Hôpitaux communautaires
Type d'étude:
Recherche qualitative
Limites du sujet:
Adulte
/
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Annals of the Academy of Medicine, Singapore
Année:
2014
Type:
Article
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