Provision of Rehabilitation Services in Residential Care Facilities: Evidence From a National Survey

Soumitra S. Bhuyan, Aastha Chandak, Niodita Gupta, David K. Wyant, Jungyoon Kim, Jay Bhatt, Ayesha Singh, Sean Gilmore, Sang Nam Ahn, Cyril F. Chang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective To examine the association between organizational factors and provision of rehabilitation services that include physical therapy (PT) and occupational therapy (OT) in residential care facilities (RCFs) in the United States. Design A cross-sectional, observational study conducted using a national sample from the 2010 National Survey of Residential Care Facilities conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics. Settings U.S. RCFs. Participants RCFs (N=2302; weighted sample, 31,134 RCFs). Interventions Not applicable. Main Outcome Measures The association between characteristics of the facilities, director and staff, and residents, and provision of PT and OT services was assessed using multivariate logistic regression analyses. Results Among all RCFs in the United States, 43.9% provided PT and 40.0% provided OT. Medicaid-certified RCFs, larger-sized RCFs, RCFs with a licensed director, RCFs that used volunteers, and RCFs with higher personal care aide hours per patient per day were more likely to provide both PT and OT, while private, for-profit RCFs were less likely to provide PT and OT. RCFs with a higher percentage of white residents were more likely to provide PT, while RCFs with chain affiliation were more likely to provide OT. Conclusions Less than half of the RCFs in the United States provide PT and OT, and this provision of therapy services is associated with organizational characteristics of the facilities. Future research should explore the effectiveness of rehabilitation services in RCFs on residents' health outcomes.

Original languageEnglish (US)
Pages (from-to)1203-1209
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume98
Issue number6
DOIs
StatePublished - Jun 2017

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Residential Facilities
Rehabilitation
Occupational Therapy
Surveys and Questionnaires
Therapeutics
National Center for Health Statistics (U.S.)

Keywords

  • Long-term care
  • Occupational therapy
  • Physical therapists
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Provision of Rehabilitation Services in Residential Care Facilities : Evidence From a National Survey. / Bhuyan, Soumitra S.; Chandak, Aastha; Gupta, Niodita; Wyant, David K.; Kim, Jungyoon; Bhatt, Jay; Singh, Ayesha; Gilmore, Sean; Ahn, Sang Nam; Chang, Cyril F.

In: Archives of Physical Medicine and Rehabilitation, Vol. 98, No. 6, 06.2017, p. 1203-1209.

Research output: Contribution to journalArticle

Bhuyan, SS, Chandak, A, Gupta, N, Wyant, DK, Kim, J, Bhatt, J, Singh, A, Gilmore, S, Ahn, SN & Chang, CF 2017, 'Provision of Rehabilitation Services in Residential Care Facilities: Evidence From a National Survey', Archives of Physical Medicine and Rehabilitation, vol. 98, no. 6, pp. 1203-1209. https://doi.org/10.1016/j.apmr.2016.11.021
Bhuyan, Soumitra S. ; Chandak, Aastha ; Gupta, Niodita ; Wyant, David K. ; Kim, Jungyoon ; Bhatt, Jay ; Singh, Ayesha ; Gilmore, Sean ; Ahn, Sang Nam ; Chang, Cyril F. / Provision of Rehabilitation Services in Residential Care Facilities : Evidence From a National Survey. In: Archives of Physical Medicine and Rehabilitation. 2017 ; Vol. 98, No. 6. pp. 1203-1209.
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abstract = "Objective To examine the association between organizational factors and provision of rehabilitation services that include physical therapy (PT) and occupational therapy (OT) in residential care facilities (RCFs) in the United States. Design A cross-sectional, observational study conducted using a national sample from the 2010 National Survey of Residential Care Facilities conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics. Settings U.S. RCFs. Participants RCFs (N=2302; weighted sample, 31,134 RCFs). Interventions Not applicable. Main Outcome Measures The association between characteristics of the facilities, director and staff, and residents, and provision of PT and OT services was assessed using multivariate logistic regression analyses. Results Among all RCFs in the United States, 43.9{\%} provided PT and 40.0{\%} provided OT. Medicaid-certified RCFs, larger-sized RCFs, RCFs with a licensed director, RCFs that used volunteers, and RCFs with higher personal care aide hours per patient per day were more likely to provide both PT and OT, while private, for-profit RCFs were less likely to provide PT and OT. RCFs with a higher percentage of white residents were more likely to provide PT, while RCFs with chain affiliation were more likely to provide OT. Conclusions Less than half of the RCFs in the United States provide PT and OT, and this provision of therapy services is associated with organizational characteristics of the facilities. Future research should explore the effectiveness of rehabilitation services in RCFs on residents' health outcomes.",
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AU - Kim, Jungyoon

AU - Bhatt, Jay

AU - Singh, Ayesha

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N2 - Objective To examine the association between organizational factors and provision of rehabilitation services that include physical therapy (PT) and occupational therapy (OT) in residential care facilities (RCFs) in the United States. Design A cross-sectional, observational study conducted using a national sample from the 2010 National Survey of Residential Care Facilities conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics. Settings U.S. RCFs. Participants RCFs (N=2302; weighted sample, 31,134 RCFs). Interventions Not applicable. Main Outcome Measures The association between characteristics of the facilities, director and staff, and residents, and provision of PT and OT services was assessed using multivariate logistic regression analyses. Results Among all RCFs in the United States, 43.9% provided PT and 40.0% provided OT. Medicaid-certified RCFs, larger-sized RCFs, RCFs with a licensed director, RCFs that used volunteers, and RCFs with higher personal care aide hours per patient per day were more likely to provide both PT and OT, while private, for-profit RCFs were less likely to provide PT and OT. RCFs with a higher percentage of white residents were more likely to provide PT, while RCFs with chain affiliation were more likely to provide OT. Conclusions Less than half of the RCFs in the United States provide PT and OT, and this provision of therapy services is associated with organizational characteristics of the facilities. Future research should explore the effectiveness of rehabilitation services in RCFs on residents' health outcomes.

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