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Patient-focused rehabilitation team cohesiveness in veterans administration hospitals

Smits, Stanley J ; Falconer, Judith A ; Herrin, Jeph ; Bowen, Susan E ; Strasser, Dale C

Archives of physical medicine and rehabilitation, 2003-09, Vol.84 (9), p.1332-1338 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Patient-focused rehabilitation team cohesiveness in veterans administration hospitals
Autor: Smits, Stanley J ; Falconer, Judith A ; Herrin, Jeph ; Bowen, Susan E ; Strasser, Dale C
Assuntos: Adult ; Aged ; Biological and medical sciences ; Chi-Square Distribution ; Data Collection ; Disabled Persons - rehabilitation ; Environment ; Female ; Health participants ; Health Services Research ; Hospitals, Veterans ; Humans ; Interdisciplinary health teams ; Interprofessional Relations ; Leadership ; Linear Models ; Male ; Medical sciences ; Middle Aged ; Organizational Culture ; Patient Care Team - organization & administration ; Physical and Rehabilitation Medicine - standards ; Physical and Rehabilitation Medicine - trends ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality of Health Care ; Rehabilitation ; Rehabilitation Centers - organization & administration ; United States ; Veterans Affairs (US)
É parte de: Archives of physical medicine and rehabilitation, 2003-09, Vol.84 (9), p.1332-1338
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Smits SJ, Falconer JA, Herrin J, Bowen SE, Strasser DC. Patient-focused rehabilitation team cohesiveness in Veterans Administration hospitals. Arch Phys Med Rehabil 2003;84:1332–8. To quantify the relation of hospital culture, 3 levels of leadership (hospital-level administrators, discipline-specific supervisors, attending physician on the team), and physician involvement to patient-focused rehabilitation team cohesiveness. Survey research. 48 Veterans Administration hospitals (VAHs). Six hundred fifty members of 50 rehabilitation teams. Not applicable. Scales measuring hospital culture, administrative support, supervisor expectations, attending physician support, and physician involvement (independent variables), and patient-focused rehabilitation team cohesiveness (dependent variable). Associations between scales were examined by using a hierarchical linear regression model. Patient-focused team rehabilitation cohesiveness was significantly ( P<.05) associated with administrative support, supervisor expectations, attending physician support, and physician involvement (Wald χ 2=1192.66, P<.0001) ( R 2=.6431). There was no statistically significant independent association with hospital culture. Expectations of discipline-specific supervisors and hands-on team leadership and involvement by the attending physician were associated to a significant degree with the extent to which rehabilitation teams in VAHs reported functioning in a cohesive manner. Higher functioning on patient-focused team cohesion indicates that patient services were likely delivered with greater interprofessional communication and joint effort.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Patient-focused rehabilitation team cohesiveness in veterans administration hospitals

Smits, Stanley J ; Falconer, Judith A ; Herrin, Jeph ; Bowen, Susan E ; Strasser, Dale C

New York, NY: Elsevier Inc

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