Conceptual Framework for an Episode of Rehabilitative Care After Surgical Repair of Hip Fracture

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Conceptual Framework for an Episode of Rehabilitative Care After Surgical Repair of Hip Fracture

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Publication Article, peer reviewed scientific
Title Conceptual Framework for an Episode of Rehabilitative Care After Surgical Repair of Hip Fracture
Author Sheehan, Katie J. ; Smith, Toby O. ; Martin, Finbarr C. ; Johansen, Antony ; Drummond, Avril ; Beaupre, Lauren ; Magaziner, Jay ; Whitney, Julie ; Hommel, Ami ; Cameron, Ian D. ; Price, Iona ; Sackley, Catherine
Date 2019
English abstract
Researchers face a challenge when evaluating the effectiveness of rehabilitation after a surgical procedure for hip fracture. Reported outcomes of rehabilitation will vary depending on the end point of the episode of care. Evaluation at an inappropriate end point might suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. The purpose of this article is to describe a conceptual framework for a continuum-care episode of rehabilitation after a surgical procedure for hip fracture. Definitions are proposed for the index event, end point, and service scope of the episode. Challenges in defining the episode of care and operationalizing the episode, and next steps for researchers are discussed. The episode described is intended to apply to all patients eligible for entry to rehabilitation after hip fracture and includes most functional recovery end points. This framework will provide a guide for rehabilitation researchers when designing and interpreting evaluations of the effectiveness of rehabilitation after hip fracture. Evaluation of all potential care episodes facilitates transparency in reporting of outcomes, enabling researchers to determine the true effectiveness of rehabilitation after a surgical procedure for hip fracture.
DOI https://doi.org/10.1093/ptj/pzy145 (link to publisher's fulltext.)
Link https://academic.oup.com/ptj/article/99/3/276/5299590/ .Icon
Publisher Oxford University Press
Host/Issue Physical therapy;3
Volume 99
ISSN 0031-9023
Language eng (iso)
Subject Orthopedics
Rehabilitation
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/30124 Permalink to this page
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