HOME BASED PHYSIOTHERAPY

Role of Physiotherapy in Home-based Services
Home-based physiotherapy services provide assessment and treatments to Canadians in their homes and communities for many conditions, including, stroke, heart failure, Parkinson’s disease, and recovery from hip-replacement surgery.
Home-based physiotherapy improves overall physical wellbeing, enhances social functioning, ensures routine monitoring of isolated clients, and reduces the rate of re-hospitalization and future health care service utilization. Telerehabilitation programs, as an accessible alternative to home-based physiotherapy services in rural and remote communities, also produce positive health outcomes.2 Telerehabilitation is “the provision of rehabilitation intervention, education, training and support using technology across distances”.
Home-based physiotherapy programs help ensure continuity of care and facilitate the transition from hospital to home.
Impact on Patient Experience
Home-based physiotherapy increases independence, teaches self-management and promotes empowerment.
• Home-based services with regular visits from health care professionals, consistent monitoring and follow-up ensures continuity of care in the community.
• Patient satisfaction is high for both home-based physiotherapy and Telerehabilitation programs.
• Home-based physiotherapy enables patients to live in the community longer and more safely.
Impact on Population Health
Home-based physiotherapy programs for patients with balance and mobility problems, improves functional abilities and quality of life (QOL).
• Implementation of a home-based muscle strengthening and balance retraining program decreases the rate and risk of falls in seniors living in the community.
• Physiotherapy interventions focused on functional improvements reduce mortality rates.
• Home-based physiotherapy improves physical and social function and QOL.
Impact on Health Care Costs
Home-based physiotherapy programs are highly cost-effective, reduce hospital LOS and prevent hospitalization.
• Early discharge home with rehabilitation services reduces hospital LOS for stroke patients.
• Home-based physiotherapy for rehabilitation from hip replacements surgery, results in a cost-effectiveness gain of 40%.
• Home-based physiotherapy services reduce health care costs by keeping people independent in their homes, preventing falls and providing a safe environment within the home.
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