Quality in rehabilitation after a working age person has sustained a fracture: Partnership contributes to continuity

Marianne Pia Lindahl, Berit Hvalsøe*, Jeppe Rosengaard, Henning Langberg

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

OBJECTIVE:
Research in quality of rehabilitation has mostly concerned patients with chronic diseases, but the aim of the present study was to investigate what constitutes good quality in rehabilitation after a person has sustained a fracture at working age, from both patients' and therapists' perspectives.
PARTICIPANTS:
Seven patients with bone fracture, aged 32-60 years, and 23 occupational therapists and physiotherapists from hospitals, municipalities and private practices in Denmark.
METHODS:
Qualitative study with in-depth semi-structured interviews. Data were analyzed according to grounded theory method.
RESULTS:
Partnership was a central theme that was constituted by continuity of rehabilitation and therapists' use of a patient-centred approach. Patients' experiences of continuity of rehabilitation was supported, not only by organizational factors, but depended also on values constituting the patient-centred approach. Therapists used their professional network to refine the transition process from hospital into the community, but there was no co-operation between departments in the municipalities about patients' return to work.
CONCLUSIONS:
The study suggests that patients with acute injuries need partnership, respect, and understanding through the rehabilitation course. Personal relations were important for continuity of rehabilitation (i.e. that organizational quality depended more on therapists' efforts to promote continuity for the patient than organizational tools).
Original languageDanish
JournalWORK - a Journal of Prevention, Assessment and Rehabilitation
Volume44
Issue number2
Pages (from-to)177-89
Number of pages12
ISSN1051-9815
Publication statusPublished - Jan 2013
EventEuropean Rehabilitation Congress - Hotel Scandic, København, Denmark
Duration: 9 Nov 201010 Nov 2010

Conference

ConferenceEuropean Rehabilitation Congress
LocationHotel Scandic
CountryDenmark
CityKøbenhavn
Period09/11/1010/11/10

Keywords

  • patients

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