Factors associated with Multidisciplinary Healthcare Resource Utilization Following Discharge from Pediatric Rehabilitation: A One-year Follow-up Study

Tal Krasovsky, Sharon Barak, Miriam Dishon-Berkovits, Yaara Sadeh, Jana Landa, Amichai Brezner, Tamar Silberg

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: To characterize multidisciplinary healthcare resource utilization (mHRU), including physical, occupational, speech and psychosocial therapy one-year following discharge from prolonged inpatient and outpatient pediatric rehabilitation in Israel and to identify factors associated with long-term mHRU. Methods: According to Andersen’s model of health service use, predisposing (child's age and sex), enabling (district of origin, income level, parental education, insurance) and need factors (injury type, functional status, family psychosocial risk) were collected from parents of children hospitalized for >1 month in a large rehabilitation hospital in Israel, and phone interviews were held 3-months (T1), 6-months (T2) and 12-months (T3) post-discharge. The effect of time and the role of various factors on mHRU, operationalized as number of therapy sessions in the previous 2 weeks, were evaluated. Results: Sixty-one families participated at T1 and T2, and 46 participated at T3. HRU was similar over time. Predisposing factors (age) and need factors (functional status and psychosocial risk) were associated with specific disciplines of mHRU, but enabling factors were not. Conclusions: mHRU is high and stable 12-months post-discharge. The lack of impact of enabling factors on mHRU, and the discipline-specific impact of predisposing and need factors, support equity of care provision for children following prolonged rehabilitation.

Original languageEnglish
Pages (from-to)579-594
Number of pages16
JournalPhysical and Occupational Therapy in Pediatrics
Volume42
Issue number6
DOIs
StatePublished - 1 Jan 2022

Keywords

  • Disability
  • function
  • healthcare equality
  • hospitalization
  • longitudinal

ASJC Scopus subject areas

  • Occupational Therapy
  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Pediatrics, Perinatology, and Child Health

Fingerprint

Dive into the research topics of 'Factors associated with Multidisciplinary Healthcare Resource Utilization Following Discharge from Pediatric Rehabilitation: A One-year Follow-up Study'. Together they form a unique fingerprint.

Cite this