The community rehabilitation response to COVID-19: innovative service delivery in community rehabilitation teams

Lavin, Nicole; Farrar, Elizabeth

doi:10.12968/ijtr.2020.0096

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…The introduction of telerehabilitation services (Crotty et al., 2014) or virtual care, along with other technologies, can help facilitate the provision of rehabilitation services in the home (Engineer et al., 2018; Wang et al., 2018). During the COVID‐19 pandemic, we have seen the expansion of this technology for the delivery of community rehabilitation services (Lavin & Farrar, 2020). Ongoing investigation is essential for the successful provision of this method of service delivery.…”

Section: Discussionmentioning

confidence: 99%

“…Community rehabilitation services, delivered in homes, long‐term care homes and other community settings, provide client‐centred interventions that preserve or maximise function while enhancing social inclusion and participation (Lavin & Farrar, 2020; Luker et al., 2019). Community rehabilitation services for older people are associated with improved function (Augustine et al., 2020), have a beneficial effect on decreasing the probability of institutionalisation and care costs (Luker et al., 2019) and improve quality of life for older people (Forster et al., 1999; Handoll et al., 2009; Tsang et al., 2018; van Isselt et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

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Exploring the delivery of community rehabilitation services for older people in an urban Canadian setting: Perspectives of service providers, managers and health system administrators

Leclair

Zawaly

Korall

et al. 2021

Health Social Care Comm

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As the global population of older people increases, policies aimed at improving health care delivery for older people often include supports for ageing in place. Living in the community not only reduces institutionalisation but also improves quality of life and reduces health care costs. For older people, community rehabilitation offers the opportunity to preserve and maximise function while maintaining the ability to live in the community. However, limited research examines the delivery, coordination and integration of community rehabilitation services in health systems. Our case study explored the perspectives of service providers, managers and health system administrators on the strengths, limitations and gaps in community rehabilitation for older people in one Canadian urban health region. Using interpretive description and thematic analysis, we analysed interview data from: 16 service providers, eight managers and five health system administrators. Three themes were identified: (a) Limited Access to Programs and Services; (b) Need to Emphasise Promoting, Maintaining and Restoring Function; and (c) Lack of Flow Across the System. Participants highlighted that restrictive eligibility criteria limited access to services. Services were organised around health conditions that did not address the needs of older people. Long waitlists meant that services were delayed. Transportation costs limited participation of individuals from lower socioeconomic status (SES). Age restrictions did not reflect differences in the ageing process and the health inequities individuals from lower SES groups experienced. There was a lack of emphasis in community rehabilitation programs on maintaining or restoring function in older people, which is the primary focus of rehabilitation. Furthermore, key stakeholders stressed the need for strengthening the integration of service delivery across the continuum of care. The findings underscore the need to develop a conceptual framework for community rehabilitation to promote greater system integration, access and availability of services and to optimise functional outcomes for older people.

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Section: Discussionmentioning

confidence: 99%