Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care

J. H. A. Bloemen-Vrencken; L. P. de Witte; M. W. M. Post; C. Pons; F. W. A. van Asbeck; L. H. V. van der Woude; W. J. A. van den Heuvel

doi:10.1177/0269215507079835

Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care

J. H. A. Bloemen-Vrencken^*, L. P. de Witte, M. W. M. Post, C. Pons, F. W. A. van Asbeck, L. H. V. van der Woude, W. J. A. van den Heuvel

^*Corresponding author for this work

Extremities Pain and Disability (EXPAND)

Research output: Contribution to journal › Article › Academic › peer-review

16 Citations (Scopus)

Abstract

Objective: To evaluate whether transmural care for people with spinal cord injury living in the community has more impact on health outcomes than traditional follow-up care within the Netherlands.

Design: Quasi-experiment with 12 months of follow-up.

Setting: Eight Dutch rehabilitation centres.

Subjects: Thirty-one patients who received transmural care in two 'experimental' rehabilitation centres were compared with a matched sample of 31 patients having received 'usual follow-up care' in six other rehabilitation centres.

Intervention: The core component of the transmural care consists of a transmural nurse, who 'liaises' between former patients living in the community, primary care professionals and the rehabilitation team. The transmural care model provides activities to support patients and their family/partners and activities to promote continuity of care.

Main measures: The prevalence of pressure sores and urinary tract infections; the number and duration of re-admissions to hospital and rehabilitation centre due to pressure sores, bladder and bowel problems; and the experienced quality of follow-up care.

Results: The transmural care, as implemented, did not influence the health outcomes. The prevalence of pressure sores, urinary tract infections and the number of re-admissions (due to pressure sores, bladder and bowel problems) was respectively 13, 13 and 4 in the intervention group versus 14, 15 and 6 in the usual follow-up care group. Since the transmural care had been incompletely implemented and there were methodological and practical limitations, we formulated no final conclusions regarding its effectiveness.

Conclusion: Implementing the transmural care model strictly according to protocol may improve its effectiveness.

Original language	English
Pages (from-to)	997-1006
Number of pages	10
Journal	Clinical Rehabilitation
Volume	21
Issue number	11
DOIs	https://doi.org/10.1177/0269215507079835
Publication status	Published - Nov-2007

Keywords

REHOSPITALIZATION
REHABILITATION
COMPLICATIONS
NETHERLANDS
COMMUNITY

Access to Document

10.1177/0269215507079835

Cite this

Bloemen-Vrencken, J. H. A., de Witte, L. P., Post, M. W. M., Pons, C., van Asbeck, F. W. A., van der Woude, L. H. V., & van den Heuvel, W. J. A. (2007). Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care. Clinical Rehabilitation, 21(11), 997-1006. https://doi.org/10.1177/0269215507079835

Bloemen-Vrencken, J. H. A. ; de Witte, L. P. ; Post, M. W. M. ; Pons, C. ; van Asbeck, F. W. A. ; van der Woude, L. H. V. ; van den Heuvel, W. J. A. / Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care. In: Clinical Rehabilitation. 2007 ; Vol. 21, No. 11. pp. 997-1006.

@article{8be1b50e0af04e0ba0678b8efea0def2,

title = "Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care",

abstract = "Objective: To evaluate whether transmural care for people with spinal cord injury living in the community has more impact on health outcomes than traditional follow-up care within the Netherlands.Design: Quasi-experiment with 12 months of follow-up.Setting: Eight Dutch rehabilitation centres.Subjects: Thirty-one patients who received transmural care in two 'experimental' rehabilitation centres were compared with a matched sample of 31 patients having received 'usual follow-up care' in six other rehabilitation centres.Intervention: The core component of the transmural care consists of a transmural nurse, who 'liaises' between former patients living in the community, primary care professionals and the rehabilitation team. The transmural care model provides activities to support patients and their family/partners and activities to promote continuity of care.Main measures: The prevalence of pressure sores and urinary tract infections; the number and duration of re-admissions to hospital and rehabilitation centre due to pressure sores, bladder and bowel problems; and the experienced quality of follow-up care.Results: The transmural care, as implemented, did not influence the health outcomes. The prevalence of pressure sores, urinary tract infections and the number of re-admissions (due to pressure sores, bladder and bowel problems) was respectively 13, 13 and 4 in the intervention group versus 14, 15 and 6 in the usual follow-up care group. Since the transmural care had been incompletely implemented and there were methodological and practical limitations, we formulated no final conclusions regarding its effectiveness.Conclusion: Implementing the transmural care model strictly according to protocol may improve its effectiveness.",

keywords = "REHOSPITALIZATION, REHABILITATION, COMPLICATIONS, NETHERLANDS, COMMUNITY",

author = "Bloemen-Vrencken, {J. H. A.} and {de Witte}, {L. P.} and Post, {M. W. M.} and C. Pons and {van Asbeck}, {F. W. A.} and {van der Woude}, {L. H. V.} and {van den Heuvel}, {W. J. A.}",

year = "2007",

month = nov,

doi = "10.1177/0269215507079835",

language = "English",

volume = "21",

pages = "997--1006",

journal = "Clinical Rehabilitation",

issn = "0269-2155",

publisher = "SAGE Publications Inc.",

number = "11",

}

Bloemen-Vrencken, JHA, de Witte, LP, Post, MWM, Pons, C, van Asbeck, FWA, van der Woude, LHV & van den Heuvel, WJA 2007, 'Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care', Clinical Rehabilitation, vol. 21, no. 11, pp. 997-1006. https://doi.org/10.1177/0269215507079835

Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care. / Bloemen-Vrencken, J. H. A.; de Witte, L. P.; Post, M. W. M.; Pons, C.; van Asbeck, F. W. A.; van der Woude, L. H. V.; van den Heuvel, W. J. A.

In: Clinical Rehabilitation, Vol. 21, No. 11, 11.2007, p. 997-1006.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Comparison of two Dutch follow-up care models for spinal cord-injured patients and their impact on health problems, re-admissions and quality of care

AU - Bloemen-Vrencken, J. H. A.

AU - de Witte, L. P.

AU - Post, M. W. M.

AU - Pons, C.

AU - van Asbeck, F. W. A.

AU - van der Woude, L. H. V.

AU - van den Heuvel, W. J. A.

PY - 2007/11

Y1 - 2007/11

N2 - Objective: To evaluate whether transmural care for people with spinal cord injury living in the community has more impact on health outcomes than traditional follow-up care within the Netherlands.Design: Quasi-experiment with 12 months of follow-up.Setting: Eight Dutch rehabilitation centres.Subjects: Thirty-one patients who received transmural care in two 'experimental' rehabilitation centres were compared with a matched sample of 31 patients having received 'usual follow-up care' in six other rehabilitation centres.Intervention: The core component of the transmural care consists of a transmural nurse, who 'liaises' between former patients living in the community, primary care professionals and the rehabilitation team. The transmural care model provides activities to support patients and their family/partners and activities to promote continuity of care.Main measures: The prevalence of pressure sores and urinary tract infections; the number and duration of re-admissions to hospital and rehabilitation centre due to pressure sores, bladder and bowel problems; and the experienced quality of follow-up care.Results: The transmural care, as implemented, did not influence the health outcomes. The prevalence of pressure sores, urinary tract infections and the number of re-admissions (due to pressure sores, bladder and bowel problems) was respectively 13, 13 and 4 in the intervention group versus 14, 15 and 6 in the usual follow-up care group. Since the transmural care had been incompletely implemented and there were methodological and practical limitations, we formulated no final conclusions regarding its effectiveness.Conclusion: Implementing the transmural care model strictly according to protocol may improve its effectiveness.

AB - Objective: To evaluate whether transmural care for people with spinal cord injury living in the community has more impact on health outcomes than traditional follow-up care within the Netherlands.Design: Quasi-experiment with 12 months of follow-up.Setting: Eight Dutch rehabilitation centres.Subjects: Thirty-one patients who received transmural care in two 'experimental' rehabilitation centres were compared with a matched sample of 31 patients having received 'usual follow-up care' in six other rehabilitation centres.Intervention: The core component of the transmural care consists of a transmural nurse, who 'liaises' between former patients living in the community, primary care professionals and the rehabilitation team. The transmural care model provides activities to support patients and their family/partners and activities to promote continuity of care.Main measures: The prevalence of pressure sores and urinary tract infections; the number and duration of re-admissions to hospital and rehabilitation centre due to pressure sores, bladder and bowel problems; and the experienced quality of follow-up care.Results: The transmural care, as implemented, did not influence the health outcomes. The prevalence of pressure sores, urinary tract infections and the number of re-admissions (due to pressure sores, bladder and bowel problems) was respectively 13, 13 and 4 in the intervention group versus 14, 15 and 6 in the usual follow-up care group. Since the transmural care had been incompletely implemented and there were methodological and practical limitations, we formulated no final conclusions regarding its effectiveness.Conclusion: Implementing the transmural care model strictly according to protocol may improve its effectiveness.

KW - REHOSPITALIZATION

KW - REHABILITATION

KW - COMPLICATIONS

KW - NETHERLANDS

KW - COMMUNITY

U2 - 10.1177/0269215507079835

DO - 10.1177/0269215507079835

M3 - Article

C2 - 17984152

VL - 21

SP - 997

EP - 1006

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

SN - 0269-2155

IS - 11

ER -