The Transmural Trauma Care Model (TTCM)

What are the barriers and facilitators associated with the implementation of this new rehabilitation model?

Traumatic injury is one of the main causes of death and disability worldwide, and poses a substantial economic burden to society. Most trauma patients have one or more fractures due to their trauma. Treatment depends on fracture characteristics and patient characteristics, such as age, comorbidity, health status and activity level prior to the injury.

To optimise the rehabilitation process, we developed and evaluated the Transmural Trauma Care Model (TTCM). The TTCM is an advanced transmural rehabilitation model for mild, moderate and severe trauma patients with at least one fracture, aiming to improve patient outcomes and to reduce costs by optimising the organisation, content, and quality of the rehabilitation process.

Lessons learned from the TTCM trial and its process evaluation were used to further improve the TTCM and to set up a multicenter trial aimed to assess the effectiveness and cost-effectiveness of an improved version of the TTCM compared to regular care, on a wider scale and using an improved study design. Results of this multicenter trial are expected in 2023 and will hopefully lead to a nationwide implementation of the TTCM and thus contribute to an individually tailored rehabilitation path for every single trauma patient.

> From: Wiertsema et al., BMC Health Serv Res 19 (2019) 819 . All rights reserved to The Author(s). Click here for the online summary.

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