scholarly journals Adherence to recommendations of inpatient geriatric consultation teams: a multicenter observational study

Author(s):  
Mieke Deschodt ◽  
Anthony Jeuris ◽  
Bastiaan Van Grootven ◽  
Eline Van Waerebeek ◽  
Evie Gantois ◽  
...  

Abstract Purpose Inpatient geriatric consultation teams (IGCTs) provide recommendations for the care of older patients hospitalized on non-geriatric wards based on comprehensive geriatric assessment. The lack of adherence to their recommendations hinders the potential impact of IGCTs. We evaluated the adherence to IGCT recommendations and determined which team and recommendation characteristics are related to higher adherence rates. Methods Multicenter observational study in older adults aged ≥ 75 years admitted to an acute non-geriatric ward. Demographic and adherence data were collected for 30 consecutive patients. A cross-sectional survey mapped team and organizational characteristics of the participating IGCTs. Results Analyses were conducted in 278 patients (51.4% male, mean age 82.5 years, and median length of stay 10 days). There was a median number of 3 recommendations (range 1–13) per patient. The overall adherence rate was 69.7%. Recommendations related to ‘social status’ (82.4%) and ‘functional status/mobility’ (73.3%) were best adhered to. Recommendations related to ‘medication’ (53.2%) and ‘nutritional status’ (59.1%) were least adhered to. Adherence rates increased if recommendations were given to allied health professionals (OR = 6.37, 95% CI = 1.15–35.35) or by more experienced IGCTs (OR = 1.34, 95% CI = 1.04–1.72) and decreased when more recommendations were given (OR = 0.51, 95% CI = 0.33–0.80). Conclusion Adherence rate to IGCT recommendations increased if given to allied health professionals or by more experienced IGCTs and when fewer recommendations were given. Study replication in an international multicenter study with a larger number of centers and evaluating the quality of the recommendations is suggested.

2021 ◽  
Vol 10 (2) ◽  
pp. 19-24
Author(s):  
Mubashir Siddiqui

BACKGROUND AND AIMS The havoc caused by COVID-19 leads to have an adverse impact on medical priorities for consultation however e-consultation has been used widely by practitioners to aid the patient and healthcare providers. METHODOLOGY A cross-sectional survey was conducted on allied health professionals, considering physical and occupational therapists. A self-administered questionnaire regarding impact assessment and level of attained satisfaction was distributed to participants in Google Docs via email or Whatsapp groups. RESULTS A total number of 109 responses obtained from the participants showed (34.9%) were agreed to understand the completed condition of the patient, (38.5%) but (41.3%) disagreed to treat the patient same as physical appointment and (35.58%) disagreed to work more productively. Only (32.1%) were agreed to be satisfied during their consultation, (49.5%) agreed that e-consultation can never be adopted as a good substitute of physical appointments. CONCLUSION It was concluded that limited number of therapists were satisfied with their e-consultation services while majority were agreed that the service cannot be a good substitute for a physical appointment. Therefore, further trials needs to be conducted to evaluate the factors causing hindrance in healthcare delivery.


2021 ◽  
Vol 10 (1) ◽  
pp. 78-82
Author(s):  
Syed Hasan Abbas Rizvi

BACKGROUND AND AIMS In order to deliver effective treatment, the awareness of physical therapy is essential for the health care professionals. However, there is lack of cognizance among Allied Health Professionals who play a substantial contribution to patient care. Thus, the aim of conducting this study is to explore the perception about the field of physical therapy among Allied Health Professionals that may lead to improved health-related outcomes of the patients consequently increasing their quality of life. METHODOLOGY The cross-sectional survey was conducted on Allied Health Professionals, recruited through the non-probability convenience sampling technique. The data was collected through self-administered questionnaire. RESULTS It was revealed that 95% of the participants were aware about physiotherapy and its importance, 85.6% suggested that awareness session for physiotherapy should be conducted for medical professionals, 87.3% were eager to encourage their friends and family to choose the profession as physiotherapist. Further, 83.5% think that physiotherapist contributes to the well-being of individuals, 85.6% were willing to have physiotherapy. However, 20% were not interested in physiotherapy and related discussion. CONCLUSION It was concluded that majority of the participants were aware regarding the role of physiotherapy and its contribution towards the society. However, further researches should be conducted to explore the awareness related to different fields of rehabilitation among healthcare practitioners.


2014 ◽  
Vol 60 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Selda Sarikaya ◽  
Birkan Sonel Tur ◽  
Yesim Kurtais ◽  
Hale Uzumcugil Karapolat ◽  
Feray Soyupek ◽  
...  

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 112 ◽  
Author(s):  
Deidre D. Morgan ◽  
Deb Rawlings ◽  
Carly J. Moores ◽  
Lizzie Button ◽  
Jennifer J. Tieman

CareSearch is an Australian Government Department of Health funded repository of evidence-based palliative care information and resources. The CareSearch Allied Health Hub was developed in 2013 to support all allied health professionals working with palliative care clients in all clinical settings. This cross-sectional online survey sought to elicit allied health professionals palliative care experiences and subsequent considerations for educational and clinical practice needs. The survey was disseminated nationally via a range of organisations. Data was collected about palliative care knowledge, experience working with palliative care clients and professional development needs. Data were evaluated by profession, experience and practice setting. In total, 217 respondents answered one or more survey questions (94%). Respondents (65%) reported seeing >15 palliative care clients per month with 84% seen in hospital and community settings. Undergraduate education underprepared or partially prepared allied health professionals to work with these clients (96%) and 67% identified the need for further education. Access to postgraduate professional development was limited by available backfill and funding. Study findings support the importance of free, accessible, relevant educational and professional development resources to support clinical practice. This is particularly relevant for allied health professionals who have limited opportunities to attend formal professional development sessions.


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