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

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

17 Citaten (Scopus)

Samenvatting

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.

Originele taal-2English
Pagina's (van-tot)997-1006
Aantal pagina's10
TijdschriftClinical Rehabilitation
Volume21
Nummer van het tijdschrift11
DOI's
StatusPublished - nov-2007

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