Aotearoa New Zealand health leader’s opinions on the implementation of a facility-based rehabilitation initiative for older people as an alternative to inpatient rehabilitation in an acute hospital setting

Abstract

ObjectivesThis study aims to explore the opinions of key health leaders in Aotearoa New Zealand (Waikato Region) regarding a proposed facility-based rehabilitation initiative for older people. The initiative involves a team of health professionals providing intensive rehabilitation up to four times a day, seven days a week, to patients transferred to aged care facilities within the Waikato region.MethodStructured interviews were conducted across one tertiary hospital, two community facilities, and two aged care facilities in the Waikato region of New Zealand. These were audio recorded and transcribed verbatim to allow for thematic analyses of the transcripts using a (1) general inductive method of inquiry.ResultsInterview transcripts from participants were analysed utilising a general inductive method of enquiry to develop key themes from the transcripts. This followed grounded theory in that themes emerged from the qualitative data collected from participants (2). The three central themes revealed were: "Person-Centered Care: What Matters Most?", "Rehabilitation: Beyond Monday to Friday, Eight to Five," and the importance of a multidisciplinary team working as "integrated partners in care."All participants supported the implementation of a facility-based rehabilitation initiative and identified key aspects for successful patient outcomes. However, safety was highlighted as a crucial consideration, with participants emphasizing the need for medical support and oversight when implementing such a significant change in the care model.ConclusionThe study examines Aotearoa New Zealand health leaders' views on implementing a facility-based rehabilitation initiative for older people. It enables readers to consider key factors for successful implementation, addressing acute hospital bed pressures and bridging the gap between acute care, aged care, and home settings.