Rehabilitation of elderly patients in the community following surgery for hip fracture - utilization of personal and health care services.
OBJECTIVE
To assess the change in utilization of personal and health care services following surgery for hip fracture in elderly patients rehabilitated in the community.


METHODS
A descriptive study of patients hospitalized in the orthopedic surgery ward for traumatic hip fracture. The first interview took place after surgery and included functional and medical data, and details on utilization of personal and health care services in the month prior to surgery. The second interview took place at home three months after discharge from the hospital and documented corresponding data for the last month.


RESULTS
The study included 91 elderly patients. The mean number of contacts with health care providers increased from 4.6/month before HF to 6.4/month during rehabilitation; in particular an increase in home visits by primary care nurses and physicians from 0.4 to 1.0 visit/month (p < 0.001). Personal care showed a greater increase from 32.5 to 95.0 weekly hours (p < 0.001). Multivariate analyses showed that the increase in primary care visits was associated with chronic co-morbidity and being single, while the increase in personal care was associated with medium dependence level and an ambulatory rehabilitation setting.


CONCLUSIONS
During the rehabilitation period in the community there was an increase in non-rehabilitative services-medical and personal. Morbidity and functional data could predict the increase in use at time of discharge from hospital.
Department of Family Medicine, Ben-Gurion University of the Negev, Israel. eilat_s@netvision.net.il
Sophia
S
Eilat-Tsanani
Hava
H
Tabenkin
Basil
B
Kaufman
Idit
I
Lavie
Zvi
Z
Weiss
Rakefet
R
Apelbaum
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006296:Health Services / Q000706:statistics & numerical data*; D006620:Hip Fractures / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D006701:Home Nursing / Q000706:statistics & numerical data*; D006760:Hospitalization; D006792:House Calls / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D015999:Multivariate Analysis; D012111:Residence Characteristics; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires