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Admission to and Continuation of Inpatient Stroke Rehabilitation in Queensland, Australia: A Survey of Factors that Contribute to the Consultant's Decision

Published online by Cambridge University Press:  18 September 2014

Kathryn S. Hayward ,
Philip D. Aitken ,
Ruth N. Barker  and
Sandra G. Brauer
Kathryn S. Hayward
Affiliation:
Division of Physiotherapy, School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
Philip D. Aitken
Affiliation:
Division of Medicine, Princess Alexandra Hospital, Brisbane, Australia
Ruth N. Barker
Affiliation:
School of Public Health, Tropical Medicine & Rehabilitation Sciences, James Cook University, Townsville, Australia Community Rehab Northern Queensland, Townsville Mackay Medicare Local, Townsville, Australia
Sandra G. Brauer*
Affiliation:
Division of Physiotherapy, School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
*
Address for correspondence: Sandra G. Brauer, Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane St Lucia, Queensland, Australia, 4072. E-mail: s.brauer@uq.edu.au
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Abstract

Aim: To evaluate factors that may contribute to the decision of the consultant medical officer (CMO) to: (1) admit a person with stroke to inpatient rehabilitation from acute hospitalisation; and (2) continue or cease inpatient rehabilitation.

Methods: A web-based survey of CMOs practising in Queensland Australia, who were members of the Australian and New Zealand Society of Geriatric Medicine (n ~ 90) or the Queensland Stroke Clinical Network (n ~ 30) was completed. The survey contained two sections to explore factors that could: (1) favour or disfavour admission to inpatient rehabilitation from acute hospitalisation; and (2) favour continuation or cessation of inpatient rehabilitation. Open and closed questions were used.

Results: Twenty-one CMOs (13–20% response rate, 43% geriatrician) completed the survey. Factors related to physical function, along with the presence of social supports favoured admission, while the presence of behavioural and cognitive impairments and a lack of staff capacity disfavoured admission. Improvements in function favoured continuation of inpatient rehabilitation, while a lack of improvement favoured cessation.

Conclusion: Factors related to the patient, their social support network and the organisation were found to influence the decision of the CMO to admit a person with stroke to inpatient rehabilitation from acute hospitalisation. Once in rehabilitation, demonstration of benefit was consistently reported to indicate continued service need.

Keywords

strokerehabilitationadmissioncontinuum of caresurveys
Type
Articles
Information
Brain Impairment , Volume 15 , Issue 2 , September 2014 , pp. 88 - 98
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2014 

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