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

Publication date: Available online 23 December 2016
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Soumitra S. Bhuyan, Aastha Chandak, Niodita Gupta, David Wyant, Jungyoon Kim, Jay Bhatt, Ayesha Singh, Sean Gilmore, SangNam Ahn, Cyril F. Chang
ObjectiveThe objective of this study is 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 in the United States.DesignThis is a cross-sectional, observational study conducted using a national sample from the 2010 National Survey of Residential Care Facilities (NSRCF) conducted by the Center for Disease Control and Prevention's National Center for Health Statistics.SettingsU.S. Residential Care FacilitiesParticipants2302 RCFs (Weighted Sample: 31,134 RCFs)InterventionsNoneMain Outcome MeasuresWe assessed the association between characteristics of the facilities, director and staff, and residents, and provision of PT and OT services using multivariate logistic regression analyses.ResultsAmong all the 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.ConclusionLess than half of the RCFs in the U.S. 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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