Physical therapy journal of policy, administration, and leadership最新文献

筛选

英文中文

Disparities in Geographic Proximity to Outpatient Physical Therapist Services in a Large Metropolitan Area. 大城市门诊物理治疗师服务的地理邻近差异

Physical therapy journal of policy, administration, and leadership Pub Date : 2019-01-01

Corey Rovzar, Dana L Judd, Dawn M Magnusson

{"title":"Disparities in Geographic Proximity to Outpatient Physical Therapist Services in a Large Metropolitan Area.","authors":"Corey Rovzar, Dana L Judd, Dawn M Magnusson","doi":"","DOIUrl":"","url":null,"abstract":"Study design: Cross-sectional secondary data analysis.Background: Geographic access to outpatient physical therapist (OPT) services in densely populated urban areas is poorly understood.Objectives: Describe the geographic distribution of need for and supply of OPT services in this area and explore disparities in geographic proximity to services.Methods and measures: Sociodemographic and OPT need data were collected for each census tract in the Denver Metropolitan Statistical Area (MSA) from the United States Census. Need for OPT was defined as the percentage of respondents within the census tract who responded \"yes\" to the question, \"do you have difficulty walking or climbing stairs?\" A geocoded database of businesses and hospitals with OPT services was constructed from the Colorado Department of Regulatory Agencies and the Department of Public Health and Environment, respectively. Geographic proximity to OPT services was defined as living within a one-mile radius of a clinic. We leveraged Geographic Information Systems (GIS) to integrate and analyze relevant spatial data.Results: A total of 359 OPT practices were identified in the Denver MSA. Census tracts with high social vulnerability and high OPT need tended to have poor geographic proximity to services.Conclusions: Disparities in geographic access to OPT services exist within large metropolitan areas. GIS represents a useful strategy for understanding geographic disparities in care and informing the allocation of physical therapist resources.Institutional review: University of Colorado Multiple Institutional Review Board.Financial disclosure statement: The authors have no financial relationships to disclose.","PeriodicalId":92275,"journal":{"name":"Physical therapy journal of policy, administration, and leadership","volume":"19 3","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147380064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing Innovation in Skilled Nursing Facilities through Academic Collaborations. 通过学术合作推进专业护理机构的创新。

Physical therapy journal of policy, administration, and leadership Pub Date : 2018-08-01

Allison M Gustavson, Rebecca S Boxer, Amy Nordon-Craft, Robin L Marcus, Andrea Daddato, Jennifer E Stevens-Lapsley

引用次数: 0

Association between Self-Reported Participation in Decision Making and Inpatient Rehabilitation Outcomes. 自我报告的决策参与与住院康复结果的关系。

Physical therapy journal of policy, administration, and leadership Pub Date : 2015-09-01

Juli A Wylegala, James E Graham, Amol M Karmarkar, Caitlin Illig, Sandra Bennett Illig, Kenneth J Ottenbacher

{"title":"Association between Self-Reported Participation in Decision Making and Inpatient Rehabilitation Outcomes.","authors":"Juli A Wylegala, James E Graham, Amol M Karmarkar, Caitlin Illig, Sandra Bennett Illig, Kenneth J Ottenbacher","doi":"","DOIUrl":"","url":null,"abstract":"Study design: Retrospective cross sectional.Purpose: The purpose of this study was to assess the independent associations between perceived participation in clinical decision making on rehabilitation length of stay, discharge functional status, and discharge setting following inpatient rehabilitation.Background: Active participation in the inpatient rehabilitation process, which is the most intense post-acute rehabilitation service, should lead to better patient experiences and outcomes.Methods: Self-reported information from participant interviews was linked with data in administrative medical records for Medicare beneficiaries discharged from inpatient rehabilitation facilities in 2007-2009. The decision making variable assessed participants' perceived participation in decision making during their inpatient rehabilitation stays. The three outcome variables were inpatient rehabilitation length of stay, discharge functional status, and discharge setting.Results: Among the 41,110 participants interviewed, approximately 89% strongly agreed or agreed, and 12% disagreed that they participated in decision making during their rehabilitation stays. The multivariable regression models showed that greater participation in decision making was associated (p < .05) with slightly longer lengths of stay, higher discharge functional status, and increased likelihood of community discharge.Conclusions: Nearly nine in 10 Medicare beneficiaries report participating in decision making when receiving inpatient rehabilitation services. Increasing participation may lead to improvements in fundamental rehabilitation outcomes.","PeriodicalId":92275,"journal":{"name":"Physical therapy journal of policy, administration, and leadership","volume":"15 3","pages":"J12-J21"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5929144/pdf/nihms870451.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36068009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0