دورية أكاديمية
Does follow-up really matter? A convergent mixed methods study exploring follow-up across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases.
| العنوان: | Does follow-up really matter? A convergent mixed methods study exploring follow-up across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases. |
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| المؤلفون: | Berdal G; Norwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway., Sand-Svartrud AL; Norwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway., Linge AD; Muritunet Rehabilitation Centre, Ålesund, Norway., Aasvold AM; Meråker Rehabilitation Centre, Meråker, Norway., Tennebø K; Valnesfjord Health Sports Centre, Valnesfjord, Norway., Eppeland SG; Department of Physiotherapy, Sørlandet Hospital, Arendal, Norway., Hagland AS; Haugesund Hospital for Rheumatic Diseases, Haugesund, Norway., Ohldieck-Fredheim G; Vikersund Rehabilitation Centre, Vikersund, Norway., Lindtvedt Valaas H; Vikersund Rehabilitation Centre, Vikersund, Norway., Bø I; Department of Rehabilitation, Hospital for Rheumatic Diseases, Lillehammer, Norway., Klokkeide Å; Rehabilitering Vest Rehabilitation Centre, Haugesund, Norway., Sexton J; Norwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway., Azimi M; REMEDY Patient Advisory Board, Diakonhjemmet Hospital, Oslo, Norway., Dager TN; Norwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway., Kjeken I; Norwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway. |
| المصدر: | Disability and rehabilitation [Disabil Rehabil] 2024 Feb 09, pp. 1-14. Date of Electronic Publication: 2024 Feb 09. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 9207179 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-5165 (Electronic) Linking ISSN: 09638288 NLM ISO Abbreviation: Disabil Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : Abingdon, Oxford : Taylor & Francis Original Publication: London ; Washington, DC : Taylor & Francis, c1992- |
| مستخلص: | Purpose: To explore what patients with rheumatic and musculoskeletal diseases (RMDs) need and receive of follow-up care after specialized rehabilitation, and whether received follow-up is associated with health outcomes after 1 year. Further, to compare these findings with patients' experiences to improve the understanding of how follow-up takes place. Methods: In a mixed methods study, patients received a rehabilitation programme designed to improve the continuity in rehabilitation across care levels. A total of 168 patients completed questionnaires, of which 21 were also interviewed. Results: At discharge, most patients reported needs for follow-up. These needs were largely met within 1 year, mainly resulting from patients' initiatives to re-connect with previous contacts. The degree of received follow-up was not associated with goal attainment, quality of life, or physical function. Factors related to providers (competence, communication skills), context (delays, limited access to care), and patients (motivation, life situation, preferences) seemed to be decisive for the progress of the rehabilitation process over time. Conclusions: The results provide evidence that access to follow-up care is crucial to patients with RMDs. However, it also highlights several factors that may influence its impact. These results can be used to optimise design and implementation of future follow-up interventions. |
| فهرسة مساهمة: | Keywords: Rehabilitation; follow-up care; goal setting; health behaviour change; mixed methods; motivational interviewing; rheumatic and musculoskeletal diseases Local Abstract: [plain-language-summary] Healthcare providers should take greater responsibility for creating continuity in rehabilitation across levels of care.Follow-up care should be adapted to patients’ needs, goals, and preferences as regards content, timing, and mode of delivery.Follow-up should be linked to a rehabilitation plan for each patient to ensure continuity of care.More effective communication systems across service levels should be established. |
| تواريخ الأحداث: | Date Created: 20240209 Latest Revision: 20240209 |
| رمز التحديث: | 20240209 |
| DOI: | 10.1080/09638288.2024.2310170 |
| PMID: | 38334113 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1464-5165 |
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| DOI: | 10.1080/09638288.2024.2310170 |