The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority
To support the transition from hospital to community for adults 65 years and older, a restorative care unit was introduced within a regional health authority in Newfoundland and Labrador. A pre-post study design was used to evaluate the impacts of restorative care. This article describes the impact...
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crsagepubl:10.1177/1084822316661127 2023-05-15T17:22:29+02:00 The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority O’Brien, Kelli Welsh, Darlene Barnable, Alexia Wiseman, Glen Colbourne, Andrea 2016 http://dx.doi.org/10.1177/1084822316661127 http://journals.sagepub.com/doi/pdf/10.1177/1084822316661127 http://journals.sagepub.com/doi/full-xml/10.1177/1084822316661127 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Home Health Care Management & Practice volume 29, issue 1, page 13-19 ISSN 1084-8223 1552-6739 Public Health, Environmental and Occupational Health Community and Home Care Leadership and Management journal-article 2016 crsagepubl https://doi.org/10.1177/1084822316661127 2022-04-14T04:46:31Z To support the transition from hospital to community for adults 65 years and older, a restorative care unit was introduced within a regional health authority in Newfoundland and Labrador. A pre-post study design was used to evaluate the impacts of restorative care. This article describes the impact of restorative care on client outcomes and health system utilization. All patients discharged from restorative care during the first year of operation were included in the study. A total of 54 clients were discharged during the first year, with 70% being discharged to a community setting. Consistent with previous studies, statistically significant improvements were noted in function as measured using the modified Barthel Index of Activities of Daily Living and fear of falling as measured using the Fall Efficacy Scale–International. The number of alternate level of care patients in acute care and their length of acute care stay did not decrease during our study period. However, an interesting change was observed: The number of applications for long-term care initiated in acute care decreased. Further examination of the long-term outcomes of discharged patients and of the factors influencing health system outcomes is suggested. Article in Journal/Newspaper Newfoundland SAGE Publications (via Crossref) Newfoundland Home Health Care Management & Practice 29 1 13 19 |
institution |
Open Polar |
collection |
SAGE Publications (via Crossref) |
op_collection_id |
crsagepubl |
language |
English |
topic |
Public Health, Environmental and Occupational Health Community and Home Care Leadership and Management |
spellingShingle |
Public Health, Environmental and Occupational Health Community and Home Care Leadership and Management O’Brien, Kelli Welsh, Darlene Barnable, Alexia Wiseman, Glen Colbourne, Andrea The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority |
topic_facet |
Public Health, Environmental and Occupational Health Community and Home Care Leadership and Management |
description |
To support the transition from hospital to community for adults 65 years and older, a restorative care unit was introduced within a regional health authority in Newfoundland and Labrador. A pre-post study design was used to evaluate the impacts of restorative care. This article describes the impact of restorative care on client outcomes and health system utilization. All patients discharged from restorative care during the first year of operation were included in the study. A total of 54 clients were discharged during the first year, with 70% being discharged to a community setting. Consistent with previous studies, statistically significant improvements were noted in function as measured using the modified Barthel Index of Activities of Daily Living and fear of falling as measured using the Fall Efficacy Scale–International. The number of alternate level of care patients in acute care and their length of acute care stay did not decrease during our study period. However, an interesting change was observed: The number of applications for long-term care initiated in acute care decreased. Further examination of the long-term outcomes of discharged patients and of the factors influencing health system outcomes is suggested. |
format |
Article in Journal/Newspaper |
author |
O’Brien, Kelli Welsh, Darlene Barnable, Alexia Wiseman, Glen Colbourne, Andrea |
author_facet |
O’Brien, Kelli Welsh, Darlene Barnable, Alexia Wiseman, Glen Colbourne, Andrea |
author_sort |
O’Brien, Kelli |
title |
The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority |
title_short |
The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority |
title_full |
The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority |
title_fullStr |
The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority |
title_full_unstemmed |
The Impact of Introducing Restorative Care on Client Outcomes and Health System Effectiveness in an Integrated Health Authority |
title_sort |
impact of introducing restorative care on client outcomes and health system effectiveness in an integrated health authority |
publisher |
SAGE Publications |
publishDate |
2016 |
url |
http://dx.doi.org/10.1177/1084822316661127 http://journals.sagepub.com/doi/pdf/10.1177/1084822316661127 http://journals.sagepub.com/doi/full-xml/10.1177/1084822316661127 |
geographic |
Newfoundland |
geographic_facet |
Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Home Health Care Management & Practice volume 29, issue 1, page 13-19 ISSN 1084-8223 1552-6739 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/1084822316661127 |
container_title |
Home Health Care Management & Practice |
container_volume |
29 |
container_issue |
1 |
container_start_page |
13 |
op_container_end_page |
19 |
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1766109184048234496 |