Independent and Interactive Effects of Activity Performance, Sociodemographic Factors, and Insurance Type Upon Acute Care Occupational Therapy Utilization

2021 ◽  
Vol 102 (10) ◽  
pp. e30
Author(s):  
Adam Kinney ◽  
James Graham ◽  
Rayyan Bukhari ◽  
Amanda Hoffman ◽  
Matt Malcolm
Keyword(s):  
Occupational Therapy ◽  
Acute Care ◽  
Sociodemographic Factors ◽  
Interactive Effects ◽  
Insurance Type ◽  
Activity Performance

Activities of Daily Living Performance and Acute Care Occupational Therapy Utilization: Moderating Factors

2022 ◽  
Vol 76 (1) ◽  
Author(s):  
Adam R. Kinney ◽  
James E. Graham ◽  
Rayyan Bukhari ◽  
Amanda Hoffman ◽  
Matt P. Malcolm
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Acute Care ◽  
Daily Living ◽  
Sociodemographic Factors ◽  
Insurance Type ◽  
Therapy Services ◽  
To Receive ◽  
Adl Performance ◽  
Therapy Treatment

Importance: Hospitalized patients who have difficulty performing activities of daily living (ADLs) benefit from occupational therapy services; however, disparities in access to such services are understudied. Objective: To investigate whether need (i.e., limited ADL performance) predicts acute care occupational therapy utilization and whether this relationship differs across sociodemographic factors and insurance type. Design: A secondary analysis of electronic health records data. Logistic regression models were specified to determine whether ADL performance predicted use of occupational therapy treatment. Interactions were included to investigate whether the relationship between ADL performance and occupational therapy utilization varied across sociodemographic factors (e.g., age) and insurance type. Participants: A total of 56,022 adults admitted to five regional hospitals between 2014 and 2018 who received an occupational therapy evaluation. Intervention: None. Outcomes and Measures: Occupational therapy service utilization, Activity Measure for Post-Acute Care “6-Clicks” measure of daily activity. Results: Forty-four percent of the patients evaluated for occupational therapy received treatment. Patients with lower ADL performance were more likely to receive occupational therapy treatment; however, interaction terms indicated that, among patients with low ADL performance, those who were younger, were White and non-Hispanic, had significant others, and had private insurance (vs. public) were more likely to receive treatment. These differences were smaller among patients with greater ADL performance. Conclusions and Relevance: Greater need was positively associated with receiving occupational therapy services, but this relationship was moderated by age, minoritized status, significant other status, and insurance type. The findings provide direction for exploring determinants of disparities in occupational therapy utilization. What This Article Adds: Acute care occupational therapy utilization is driven partly by patient need, but potential disparities in access to beneficial services may exist across sociodemographic characteristics and insurance type. Identifying potential determinants of disparities in acute care occupational therapy utilization is the first step in developing strategies to reduce barriers for those in need.

Activities of Daily Living Performance and Acute Care Occupational Therapy Utilization: Moderating Factors

2022 ◽  
Vol 76 (1) ◽  
Author(s):  
Adam R. Kinney ◽  
James E. Graham ◽  
Rayyan Bukhari ◽  
Amanda Hoffman ◽  
Matt P. Malcolm
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Acute Care ◽  
Daily Living ◽  
Sociodemographic Factors ◽  
Insurance Type ◽  
Therapy Services ◽  
To Receive ◽  
Adl Performance ◽  
Therapy Treatment

Importance: Hospitalized patients who have difficulty performing activities of daily living (ADLs) benefit from occupational therapy services; however, disparities in access to such services are understudied. Objective: To investigate whether need (i.e., limited ADL performance) predicts acute care occupational therapy utilization and whether this relationship differs across sociodemographic factors and insurance type. Design: A secondary analysis of electronic health records data. Logistic regression models were specified to determine whether ADL performance predicted use of occupational therapy treatment. Interactions were included to investigate whether the relationship between ADL performance and occupational therapy utilization varied across sociodemographic factors (e.g., age) and insurance type. Participants: A total of 56,022 adults admitted to five regional hospitals between 2014 and 2018 who received an occupational therapy evaluation. Intervention: None. Outcomes and Measures: Occupational therapy service utilization, Activity Measure for Post-Acute Care “6-Clicks” measure of daily activity. Results: Forty-four percent of the patients evaluated for occupational therapy received treatment. Patients with lower ADL performance were more likely to receive occupational therapy treatment; however, interaction terms indicated that, among patients with low ADL performance, those who were younger, were White and non-Hispanic, had significant others, and had private insurance (vs. public) were more likely to receive treatment. These differences were smaller among patients with greater ADL performance. Conclusions and Relevance: Greater need was positively associated with receiving occupational therapy services, but this relationship was moderated by age, minoritized status, significant other status, and insurance type. The findings provide direction for exploring determinants of disparities in occupational therapy utilization. What This Article Adds: Acute care occupational therapy utilization is driven partly by patient need, but potential disparities in access to beneficial services may exist across sociodemographic characteristics and insurance type. Identifying potential determinants of disparities in acute care occupational therapy utilization is the first step in developing strategies to reduce barriers for those in need.

Discharge disposition from acute care after traumatic brain injury: The effect of insurance type

2001 ◽  
Vol 82 (9) ◽  
pp. 1151-1154 ◽  
Author(s):  
Leighton Chan ◽  
Jason Doctor ◽  
Nancy Temkin ◽  
Richard F. MacLehose ◽  
Peter Esselman ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Acute Care ◽  
Discharge Disposition ◽  
Insurance Type

The development of the modified blaylock tool for occupational therapy referral (MBTOTR): a preliminary evaluation of its utility in acute care

2015 ◽  
Vol 38 (16) ◽  
pp. 1610-1619 ◽  
Author(s):  
Emma Su Zan Tan ◽  
Lynette Mackenzie ◽  
Katrina Travasssaros ◽  
Megan Yeo
Keyword(s):  
Occupational Therapy ◽  
Acute Care ◽  
Preliminary Evaluation

Stress Management as a Component of Occupational Therapy in Acute Care Settings

1984 ◽  
Vol 1 (3) ◽  
pp. 17-41 ◽  
Author(s):  
Anne Affleck ◽  
Elizabeth Bianchi ◽  
Marlene Cleckley ◽  
Karen Donaldson ◽  
Guy McCormack ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Stress Management ◽  
Acute Care ◽  
Acute Care Settings

Acute Care Physical and Occupational Therapy Early Intervention Pathway After Transcatheter Aortic Valve Replacement

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Adele Myszenski ◽  
Barbara Michon ◽  
Danielle Lupcke ◽  
Cynthia Melican ◽  
Narmean Pedawi ◽  
...  
Keyword(s):  
Early Intervention ◽  
Aortic Valve ◽  
Occupational Therapy ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Acute Care ◽  
Transcatheter Aortic Valve Replacement ◽  
Transcatheter Aortic Valve
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