title: Quality in rehabilitation after a working age person has sustained a fracture: partnership contributes to continuity.
abstract: OBJECTIVE
  Research in quality of rehabilitation has mostly concerned patients with chronic diseases, but the aim of the present study was to investigate what constitutes good quality in rehabilitation after a person has sustained a fracture at working age, from both patients' and therapists' perspectives.
  
  
  METHODS
  Seven patients with bone fracture, aged 32-60 years, and 23 occupational therapists and physiotherapists from hospitals, municipalities and private practices in Denmark.
  
  
  METHODS
  Qualitative study with in-depth semi-structured interviews. Data were analyzed according to grounded theory method.
  
  
  RESULTS
  Partnership was a central theme that was constituted by continuity of rehabilitation and therapists' use of a patient-centred approach. Patients' experiences of continuity of rehabilitation was supported, not only by organizational factors, but depended also on values constituting the patient-centred approach. Therapists used their professional network to refine the transition process from hospital into the community, but there was no co-operation between departments in the municipalities about patients' return to work.
  
  
  CONCLUSIONS
  The study suggests that patients with acute injuries need partnership, respect, and understanding through the rehabilitation course. Personal relations were important for continuity of rehabilitation (i.e. that organizational quality depended more on therapists' efforts to promote continuity for the patient than organizational tools).
authors: Physiotherapy, Faculty of Health, University College Sealand, Naestved, Denmark. mli@ucsj.dk
authors: Marianne
authors: M
authors: Lindahl
authors: Berit
authors: B
authors: Hvalsoe
authors: Jeppe Rosengaard
authors: JR
authors: Poulsen
authors: Henning
authors: H
authors: Langberg
mesh_terms: D003159:Community-Institutional Relations; D006299:Health Services for the Aged; D006801:Humans; D012050:Rehabilitation, Vocational