Differences in the occupational therapy goals of clients and therapists affect the outcomes of patients in subacute rehabilitation wards: a case-control study

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  • Saito Yuki
    Department of Rehabilitation Science, Division of Occupational Therapy, Sendai Seiyo Gakuin College: 4-3-55 Nagamachi, Taihakuku, Sendai 982-0011 Japan
  • Tomori Kounosuke
    Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, Japan
  • Nagayama Hirofumi
    Department of Occupational Therapy, Kanagawa University of Human Services, Japan
  • Sawadai Tatsunori
    Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, Japan
  • Kikuchi Emiko
    Department of Occupational Therapy, Graduate School of Medical Science, Teikyo Heisei University, Japan

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Abstract

<p>[Purpose] This study aimed to examine the effects of differences in the goals recognized by the client and the occupational therapist on patient outcome. [Participants and Methods] A retrospective case-control study was conducted to compare rehabilitation outcomes of cases wherein the occupational therapy goals were matched/unmatched (control) with those of the patients in seven subacute rehabilitation wards in Japan. The outcomes were Functional Independence Measure, number of days of hospitalization, occupational therapy, and total medical cost. [Results] The motor Functional Independence Measure scores in the matched-goal group were significantly higher than those of the unmatched-goal group, and the home discharge rate showed a tendency to increase. It was speculated whether the client had received an explanation about the goal. [Conclusion] Rehabilitation outcome may vary depending on whether occupational therapy goals are matched.</p>

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