Significant variation exists in home care services following total joint arthroplasty

J Rheumatol. 2004 May;31(5):973-5.

Abstract

Objective: To determine a preliminary profile of the variation in rehabilitation and home care services for patients with total joint arthroplasty (TJA) in Ontario in 2001.

Methods: A cross-sectional survey was conducted of directors at the 43 regional community care access centers (CCAC).

Results: One-third (36%) of CCAC had existing care pathways, 54% had defined discharge criteria, and 32% had predetermined the length of home care services. The intensity and frequency of services provided were variable.

Conclusion: There is a need to standardize rehabilitation protocols to maintain quality of care and contain costs.

MeSH terms

  • Arthroplasty, Replacement, Hip / rehabilitation*
  • Arthroplasty, Replacement, Knee / rehabilitation*
  • Cross-Sectional Studies
  • Health Services Needs and Demand* / statistics & numerical data
  • Health Surveys*
  • Home Care Services*
  • Ontario
  • Outcome and Process Assessment, Health Care* / statistics & numerical data