Development, implementation and evaluation of an optimized cross-sectoral rehabilitation program after acute hip fracture surgery: A mixed-methods study

Lise Kronborg, Pia Maria Ilvig, Louise Brendstrup, Caroline Louise Rasmussen, Kirsten Aunskjær Pedersen, Peter Ditlevsen, Sara Elizabeth Henriksen, Jeanette Wassar Kirk

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review


Fall-related hip fracture (HF) is a frequent trauma in Scandinavia with a yearly incidence of 8,000 among ≥65-year-old citizens in Denmark. The rising incidence and global predictions are alarming since a HF is a major, and potentially fatal, trauma to the citizen, requiring acute surgery, a multimodal approach and post-operative cross-sectoral rehabilitation. However, continuity of the rehabilitation program is frequently interrupted in the transition between sectors, compromising optimal recovery of frail citizens. Thus, there is a need to develop and implement optimized cross-sectoral rehabilitation after HF. The purpose of this explorative study was to develop, implement and evaluate an optimized cross-sectoral rehabilitation program (OCRP) after HF surgery using validated theoretical frameworks. OCRP was developed, implemented and evaluated in one municipality using a pragmatic user-centered approach, quantitative and qualitative data collection and theoretical frameworks including the Behavior Change Wheel (BCW) and RE-AIM. Results of OCRP showed optimized rehabilitation based on motivated health professionals, high patient satisfaction and tendencies of improved levels of physical function. No re-referrals to rehabilitation was reported after OCRP. The BCW, RE-AIM and user-centered approach to program development, implementation and evaluation are useful to apply in development processes across sectors, professions and medical specialties.
TidsskriftEvaluation and Program Planning
StatusUdgivet - apr. 2022


  • Sygdom, sundhedsvidenskab og sygepleje
  • Hoftebrud
  • Genoptræning
  • Tværsektorielt samarbejde
  • Undersøgelsesdesign, teori og metode
  • Mixed methods design