Who receives rehabilitation in canadian long-term care facilities? A cross-sectional study. McArthur, C.; Hirdes, J.; Berg, K.; and Giangregorio, L. Physiotherapy Canada.Physiothérapie Canada, 67(2):113-121, University of Toronto Press, 2015.
Who receives rehabilitation in canadian long-term care facilities? A cross-sectional study [link]Website  abstract   bibtex   
Purpose: To describe the proportion of residents receiving occupational therapy (OT) and physical therapy (PT) and the factors associated with receiving PT in long-term care (LTC) facilities across five provinces and one territory in Canada.; Methods: Using a population-based, retrospective analysis of cross-sectional data, the proportion of LTC facility residents in each province or territory receiving three different amounts (time and frequency) of PT, OT, or both before July 1, 2013, was calculated according to the Resource Utilization Groups-III rehabilitation classifications. Twenty-three variables from the Resident Assessment Instrument 2.0, such as age and cognition, were examined as correlates; those significant at p<0.01 were included in a multivariate logistic regression.; Results: Between 63.7% and 88.6% of residents did not receive any PT or OT; 0.8%-12.6% received both PT and OT; 5.8%-29.5% received an unspecified amount of PT; 1.9%-7.0% received 45 minutes or more of PT 3 days or more per week; and fewer than 1% received 150 minutes or more of PT on 5 or more days per week. Province, age, cognitive status, depression, clinical status, fracture, multiple sclerosis, and self-rated potential for improvement were associated with PT irrespective of time intensity.; Conclusions: The proportion of LTC residents receiving rehabilitation services varies across Canada and appears to be associated with physical impairments and the potential for improvement; older residents with cognitive impairment or mood disorders are less likely to receive rehabilitation services. Future recommendations should consider what is driving the patterns of service use, determine whether the resources available are appropriate, and address the most appropriate goals for residents in LTC.;
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 title = {Who receives rehabilitation in canadian long-term care facilities? A cross-sectional study},
 type = {article},
 year = {2015},
 identifiers = {[object Object]},
 keywords = {aged,long-term care,occupational therapy,rehabilitation},
 pages = {113-121},
 volume = {67},
 websites = {http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25931661&site=ehost-live&scope=site},
 publisher = {University of Toronto Press},
 city = {Department of Kinesiology.; Department of Health Studies and Gerontology, University of Waterloo, Waterloo.; Department of Physical Therapy, University of Toronto, Ont.; Department of Kinesiology.},
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 notes = {ID: 25931661; Accession Number: 25931661. Language: English. Date Revised: 20150503. Date Created: 20150501. Date Completed: 20150501. Update Code: 20150504. Publication Type: Journal Article. Journal ID: 0346574. Publication Model: Print. Cited Medium: Print. NLM ISO Abbr: Physiother Can. PubMed Central ID: PMC4407121 Available on 03/01/16]. Linking ISSN: 03000508. Subset: PubMed-not-MEDLINE; Date of Electronic Publication: 20150301. Current Imprints: Publication: Toronto : University of Toronto Press; Original Imprints: Publication: Toronto, Canadian Physiotherapy Assn.},
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 abstract = {Purpose: To describe the proportion of residents receiving occupational therapy (OT) and physical therapy (PT) and the factors associated with receiving PT in long-term care (LTC) facilities across five provinces and one territory in Canada.; Methods: Using a population-based, retrospective analysis of cross-sectional data, the proportion of LTC facility residents in each province or territory receiving three different amounts (time and frequency) of PT, OT, or both before July 1, 2013, was calculated according to the Resource Utilization Groups-III rehabilitation classifications. Twenty-three variables from the Resident Assessment Instrument 2.0, such as age and cognition, were examined as correlates; those significant at p<0.01 were included in a multivariate logistic regression.; Results: Between 63.7% and 88.6% of residents did not receive any PT or OT; 0.8%-12.6% received both PT and OT; 5.8%-29.5% received an unspecified amount of PT; 1.9%-7.0% received 45 minutes or more of PT 3 days or more per week; and fewer than 1% received 150 minutes or more of PT on 5 or more days per week. Province, age, cognitive status, depression, clinical status, fracture, multiple sclerosis, and self-rated potential for improvement were associated with PT irrespective of time intensity.; Conclusions: The proportion of LTC residents receiving rehabilitation services varies across Canada and appears to be associated with physical impairments and the potential for improvement; older residents with cognitive impairment or mood disorders are less likely to receive rehabilitation services. Future recommendations should consider what is driving the patterns of service use, determine whether the resources available are appropriate, and address the most appropriate goals for residents in LTC.;},
 bibtype = {article},
 author = {McArthur, Caitlin and Hirdes, John and Berg, Katherine and Giangregorio, Lora},
 journal = {Physiotherapy Canada.Physiothérapie Canada},
 number = {2}
}
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