Abstract
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.
Highlights
As a result of recent health-policy changes, the home is rapidly growing as the place for healthcare and is central to reforms in all OECD (The Organisation for Economic Co-operation and Development) countries and beyond [1,2]
The immediate surroundings are suggested as being key factors in the generation of health reforms for creating person-centred care to promote autonomy, authority and choices [3,4], little is known about the facilitators and barriers for a person-centred rehabilitation process at home [5]
The synthesis will be reviewed and discussed, which will result in a framework of what is important in the synthesistowill be reviewed and discussed, which will resultfrom in athe framework theDuring designworkshop of the built2,environment support a person-centred rehabilitation process stroke of what is important in the design of the built environment to support a person-centred rehabilitation unit to the home
Summary
As a result of recent health-policy changes, the home is rapidly growing as the place for healthcare and is central to reforms in all OECD (The Organisation for Economic Co-operation and Development) countries and beyond [1,2]. The low user involvement in healthcare calls for the greater inclusion of the perspectives of experts and users [26], i.e., patients, significant others, staff, and interdisciplinary teams, in the development of new person-centred healthcare services, of which the built environment is an important part. This protocol presents a project that will increase the knowledge on patients’ situation, including how the built environment can facilitate/hinder the recovery, person-centred care and rehabilitation in their home. The outcomes will be crucial for the enhancement of improved home health services for persons with stroke
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
