The importance of the built environment in person-centred stroke rehabilitation at home
Paper in proceedings, 2019

Health services will change dramatically as the prevalence of home healthcare increases. Only technologically advanced acute care will be performed in hospitals. This—along with the increased healthcare needs of people with long-term conditions such as stroke and the rising demand for services to be more person-centred—will place pressure on healthcare to consider quality across the continuum of care. Research indicates that planned discharge tailored to individual needs can reduce adverse events and promote competence in self-management. However, the environmental factors that may play a role in a patient’s recovery process remain unexplored. This paper presents a protocol with the purpose to explore factors in the built environment that can facilitate/hinder a person-centred rehabilitation process in the home. The project uses a convergent parallel mixed-methods design, with ICF (International Classification of Functioning, Disability and Health) and person–environment theories as conceptual frameworks. Data will be collected during home visits 3 months after stroke onset. Medical records, questionnaires, interviews and observations will be used. Workshops will be held to identify what experts and users (patients, significant others, staff) consider important in the built environment. Data will be used to synthesise the contexts, mechanisms and outcomes that are important to support the rehabilitation process at home.

mixed-methods design

housing

person-centred care

rehabilitation

person–environment fit

Author

M. Kylen

Dalarna university

L. von Koch

Karolinska University Hospital

Karolinska Institutet

H. Pessah-Rasmussen

Skåne University Hospital

Lund University

C. Ytterberg

Karolinska Institutet

Karolinska University Hospital

A. Heylighen

Res X Design

Marie Elf

Dalarna university

Chalmers, Architecture and Civil Engineering, Building Design

International Journal of Stroke

1747-4930 (ISSN) 1747-4949 (eISSN)

Vol. 16 13

Subject Categories

Health Care Service and Management, Health Policy and Services and Health Economy

Nursing

Gerontology, specialising in Medical and Health Sciences

DOI

10.3390/ijerph16132409

PubMed

31284620

More information

Latest update

1/21/2020