title: Importance of a patient-centred approach in ensuring quality of post-fracture rehabilitation for working aged people: A qualitative study of therapists' and patients' perspectives.
abstract: BACKGROUND
  Quality in rehabilitation is important for recovery and return to work for people at working age, who sustain fractures, but there is limited information about what constitutes quality in rehabilitation.
  
  
  OBJECTIVE
  To identify factors that therapists and patients define as quality in the rehabilitation process for working population after simple or multiple fractures.
  
  
  METHODS
  The study is a qualitative study based on grounded theory approach with semi-structured interviews conducted individually or in focus groups. Seven patients with fractures, 15 physiotherapists and eight occupational therapists from hospitals, municipalities and private practice were included in the study. Grounded theory was used to analyze data and develop a theory about quality in the rehabilitation process.
  
  
  RESULTS
  Partnership was identified as the core category with continuity of rehabilitation and patient-centred approach as its dimensions. Themes in the patient-centred approach were Biopsychosocial understanding and Professionalism. The patient's perceived control enhanced when the therapist addressed the whole situation, especially return to work. Therapist's individual considerations and patient's involvement in decisions about the therapeutic methods had the same effect.
  
  
  CONCLUSIONS
  Quality in rehabilitation was enhanced in all its dimensions namely structure, process and outcome when therapists used the patient-centred approach and addressed the patient's overall situation.
authors.forename: Marianne
authors.initials: M
authors.lastname: Lindahl
authors.forename: Sanel
authors.initials: S
authors.lastname: Teljigović
authors.forename: Lars
authors.initials: L
authors.lastname: Heegaard Jensen
authors.forename: Berit
authors.initials: B
authors.lastname: Hvalsoe
authors.forename: Hemant
authors.initials: H
authors.lastname: Juneja
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D017144:Focus Groups; D017102:Fracture Healing; D066296:Grounded Theory; D006801:Humans; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care / Q000592:standards*; D010361:Patients / Q000523:psychology*; D010465:Perception; D059825:Physical Therapists / Q000523:psychology*; D036301:Qualitative Research; D011787:Quality of Health Care; D062707:Return to Work / Q000523:psychology
keywords: Physical therapy; occupation; occupational therapy; qualitative research; return to work