Article

Objective: To investigate the preferences of frail older people for
individualised multidisciplinary rehabilitation to promote recovery from a hip
fracture. Design: Discrete Choice Experiment. Setting:
Acute and Rehabilitation
Hospitals in Adelaide, South Australia. Subjects: Eighty-seven patients with
recent hip fracture (16 living in residential care facilities prior to fracture).
Methods: Patients providing informed consent (or consenting family carer proxies
in cases where patients were unable to provide informed consent (n = 10))
participated in a face to face interview following surgery to repair a fractured
hip to assess their preferences for different configurations of rehabilitation
programs. Results: Overall, participants expressed a strong preference for
improvements in mobility and a willingness to participate in rehabilitation
programs involving moderate pain and effort. However, negative preferences were
observed for extremely painful interventions involving high levels of effort (2 h
per day for 2 months). Subgroup analysis revealed consistently similar
preferences according to place of residence (residential care vs community).
Conclusions: Improvements in mobility are highly valued by frail older people
recovering from hip fracture, including those living in residential care. Further
research should be directed towards achieving greater equity in access to
rehabilitation services for the wide spectrum of patients attending hospital with
hip fractures.

Langue : ANGLAIS