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Post-acute care referral and inpatient rehabilitation admission criteria for persons with brain injury across two Canadian provinces

机译：两种加拿大省脑损伤的人员后急性护理转诊和住院康复入学标准

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Purpose: Investigate health care providers' perceptions of referral and admission criteria to brain injury inpatient rehabilitation in two Canadian provinces. Methods: Health care providers (n = 345) from brain injury programs (13 acute care and 16 rehabilitation facilities) participated in a cross-sectional web-based survey. The participants rated the likelihood of patients (traumatic brain injury and cerebral hypoxia) to be referred/admitted to rehabilitation and the influence of 19 additional factors (e.g., tracheostomy). The participants reported the perceived usefulness of referral/admission policies and assessment tools used. Results: Ninety-one percent acute care and 98% rehabilitation participants reported the person with traumatic brain injury would likely or very likely be referred/admitted to rehabilitation compared to respectively 43% and 53% for the patient with hypoxia. Two additional factors significantly decreased the likelihood of referral/admission: older age and the combined presence of minimal learning ability, memory impairment and physical aggression. Some significant inter-provincial variations in the perceived referral/ admission procedure were observed. Most participants reported policies were helpful. Similar assessment tools were used in acute care and rehabilitation. Conclusions: Health care providers appear to consider various factors when making decisions regarding referral and admission to rehabilitation. Variations in the perceived likelihood of referral/admission suggest a need for standardized referral/admission practices.
机译：目的：调查医疗保健提供者对两个加拿大省脑损伤住院康复的转诊和录取标准的看法。方法：从脑损伤计划（13项急性护理和16条康复设施）的医疗保健提供者（N = 345）参与了基于网络的横断面网络调查。参与者评定了患者（创伤性脑损伤和脑缺氧）的可能性被提及/录取康复以及19个额外因素的影响（例如，气管造口术）。参与者报告了推荐/入学政策和使用评估工具的感知有用性。结果：91％急性护理和98％的康复参与者报告了创伤性脑损伤的人可能或很可能被提交/录取患者患有缺氧的患者的43％和53％的康复。另外两种因素显着降低了推荐/入学的可能性：年龄较大的年龄和最小的学习能力，记忆障碍和物理侵略的结合存在。观察到感知转介/入学程序的一些重要省级变化。大多数参与者报告的政策有用。类似的评估工具用于急性护理和康复。结论：在制定有关康复的转介和录取时，医疗保健提供者似乎考虑各种因素。感知/入学的感知可能性的变化表明需要标准化的转介/入学措施。

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