Admitting paediatric trauma patients to rehabilitation following acute care: decision making practices in the USA and Australia
| Autor: | Carolyn A. Unsworth, Annette Graham, J. Scott Osberg |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
Health Knowledge Attitudes Practice medicine.medical_treatment Decision Making Standardized test Guidelines as Topic Social Environment Rehabilitation Centers Health Services Accessibility Insurance Coverage Patient Admission Clinical decision making Trauma Centers Acute care medicine Humans Family Child Referral and Consultation Paediatric patients Analysis of Variance Health Services Needs and Demand Rehabilitation Chi-Square Distribution Trauma Severity Indices business.industry Patient Selection Australia medicine.disease Social situation Patient Discharge United States Pediatrics Perinatology and Child Health Wounds and Injuries Medical emergency Health Services Research business |
| Zdroj: | Pediatric rehabilitation. 1(4) |
| ISSN: | 1363-8491 |
| Popis: | Paediatric patient access to rehabilitation services following trauma has significant long-term implications for clients, their families and the community. The aim of this research was to examine and compare the process by which patients are discharged from acute care and enter rehabilitation in the USA and Australia. The subjects were 31 American and 29 Australian discharge and rehabilitation admission coordinators. Subjects were surveyed about how they currently make trauma to rehabilitation referrals for children. Clinicians in both countries considered the severity of a child's injury and their social situation the most important factors when determining placement for a child. However, there were differences between Australian and US respondents in terms of how important they considered the factor 'medical coverage'. In addition, it was found that clinicians are not consistently using both standardized assessments and formal guidelines to assist them to determine which children should receive rehabilitation following acute care. Benefits of this research include a greater understanding of clinician discharge and admission decision making, and the equity of such decisions. However, further research is required on the influence of payment systems on access to paediatric rehabilitation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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