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Titre : | Understanding the Provision of Assistive Mobility and Daily Living Devices and Service Delivery to Veterans After Stroke (2016) |
Auteurs : | John A. KAIRALLA ; Sandra L. WINKLER ; Hua FENG |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 70, n° 1, January/February 2016) |
Langues: | Anglais |
Mots-clés: | Accident cérébrovasculaire ; Activités vie quotidienne ; Dispositif ; Organisation soins ; Assistance |
Résumé : |
OBJECTIVE. The objective of this study was to determine whether facility-level, structural factors affect the provision of assistive devices and services. DESIGN. A retrospective design was used. Activities of daily living and mobility-related devices were categorized into 11 types. Logistic regression models were performed for each type of device, controlling for patient-level and facility-level covariates. RESULTS. Nonveteran-level factors significantly affect the provision of assistive devices, even after covariate adjustment. Increased rehabilitation clinician staffing by 1 full-time equivalent position was associated with increased provision odds of 1%5% for 5 of 11 types of devices. Lower facility complexity was significantly associated with increased provision odds of 35%59% for 3 types of devices and with decreased provision odds of 16%69% for 3 types of devices. CONCLUSION. System-level factors, in addition to patient need, significantly affect the provision of assistive devices. Provision guidelines could assist clinicians in making decisions about device provision. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111953111&site=ehost-live |