Show simple item record

dc.contributor.authorIrgens, Eirik Lind
dc.contributor.authorHenriksen, Nils Oddbjørn
dc.contributor.authorMoe, Siri
dc.date.accessioned2017-03-11T09:58:07Z
dc.date.available2017-03-11T09:58:07Z
dc.date.issued2016-05-20
dc.description.abstractPeople with acquired brain injury (PwABI) are usually hospitalized for emergency care and often require both specialist and primary healthcare long-term follow-up. Higher intensity rehabilitation featuring early intervention is recommended. This study investigated how implementation of redistributed responsibilities in Norway affects neurological physiotherapy practice within and across healthcare levels and how physiotherapists experience and address these changes. We performed qualitative research interviews with physiotherapists, complemented by non-participatory field observations of physiotherapist treatments, during the rehabilitation of 10 PwABI from specialist to primary healthcare. We performed a content analysis of the interviews connected to perspectives on professionalism. Physiotherapy services for PwABI seem to be constrained, as reforms shift responsibilities for rehabilitative work between healthcare levels. Earlier hospital transfer, structural limitations and resource insufficiencies challenge the ability to provide good-quality and intensive physiotherapy services for PwABI, especially in primary care. Furthermore, the traditional division of responsibilities and organizational boundaries appears to limit expectations of future treatment and to influence the delivery of recommendations across healthcare levels. This study draws attention to the possible unintended consequences of reform initiatives, which should be considered during further development and efficiency improvements in rehabilitative work across healthcare levels.en_US
dc.descriptionManuscript. Published version available in <a href=http://dx.doi.org/10.1080/21679169.2016.1181206>European Journal of Physiotherapy, vol. 18, 2016 - issue 4</a>en_US
dc.identifier.citationIrgens EL, Henriksen N, Moe S. Acquired brain injury rehabilitation: dilemmas in neurological physiotherapy across healthcare settings. European Journal of Physiotherapy. 2016;18(4):202-209en_US
dc.identifier.cristinIDFRIDAID 1412684
dc.identifier.doi10.1080/21679169.2016.1181206
dc.identifier.issn2167-9169
dc.identifier.issn2167-9177
dc.identifier.urihttps://hdl.handle.net/10037/10574
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.ispartofIrgens, E.L. (2019). Ambiguity and professional accountability in physiotherapy practice. Acquired brain injury rehabilitation across health care levels. (Doctoral thesis). <a href=https://hdl.handle.net/10037/16371>https://hdl.handle.net/10037/16371 </a>.
dc.relation.journalEuropean Journal of Physiotherapy
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nevrologi: 752en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Neurology: 752en_US
dc.titleAcquired brain injury rehabilitation: dilemmas in neurological physiotherapy across healthcare settingsen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record