Between ideals and reality in home-based rehabilitation

Scandinavian Journal of Primary Health Care
Sissel SteihaugAnne Werner

Abstract

The growing elderly population and the rising number of people with chronic diseases indicate an increasing need for rehabilitation. Norwegian municipalities are required by law to offer rehabilitation. The aim of this study was to investigate how rehabilitation work is perceived and carried out by first-line service providers compared with the guidelines issued by Norway's health authorities. In this action research project, qualitative data were collected through 24 individual interviews and seven group interviews with employees--service providers and managers--in the home-based service of two boroughs in Oslo, Norway. The data were analysed using a systematic text-condensation method. The results show that rehabilitation receives little attention in the boroughs and that patients are seldom rehabilitated at home. There is disagreement among professional staff as to what rehabilitation is and should be. The purchaser-provider organization, high speed of service delivery, and scarcity of resources are reported to hamper rehabilitation work. A discrepancy exists between the high level of ambitious goals of Norwegian health authorities and the possibilities that practitioners have to achieve them. This situation results in healt...Continue Reading

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Citations

Nov 9, 2017·Scandinavian Journal of Primary Health Care·Sissel SteihaugLine Melby
Aug 24, 2017·Scandinavian Journal of Caring Sciences·Anne-Kari JohannessenAnne Werner
Jul 26, 2019·Journal of the American Geriatrics Society·Stuti DangSuzanne M Gillespie
Oct 9, 2019·Journal of the American Geriatrics Society·Leah M HaverhalsSuzanne M Gillespie
Apr 25, 2017·International Journal of Integrated Care·Sissel SteihaugRussell Mannion
Dec 2, 2018·Rehabilitation Research and Practice·Lena AadalSiri Moe

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