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[Characteristics of functional recovery units in orthogeriatrics according to data from the FUNctional Recovery Unit (FUN RUN) Map Project].

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Related Experiment Video

Updated: Sep 13, 2025

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Functional recovery unit national map. FUN-RUN Map Project.

Ainhoa Esteve Arrien1, Elena Romero Pisonero2, Elena Fernández Arin3

  • 1Facultad de Ciencias de la Salud, Universidad Castilla La Mancha, Spain.

Revista Espanola De Geriatria Y Gerontologia
|July 25, 2025
PubMed
Summary

Functional recovery units (FRUs) show uneven development in Spain. This study assessed FRU accessibility and indicators, revealing a need for national standards to optimize care quality and efficiency for older adults.

Keywords:
Atención intermediaEstándares de calidadFunctional recovery unitGeriatric rehabilitationIntermediate careQuality standardsRehabilitación geriátricaUnidad de recuperación funcional

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Area of Science:

  • Geriatric Rehabilitation
  • Healthcare Services Research
  • Health Policy Analysis

Background:

  • Functional recovery units (FRUs) offer crucial bed-based reablement for adults experiencing functional decline.
  • Despite proven efficacy, the development and accessibility of FRUs across Spain are notably uneven.
  • This study addresses the need to map FRU availability and characteristics nationwide.

Purpose of the Study:

  • To identify the territorial accessibility of Functional Recovery Units (FRUs) in Spain in 2024.
  • To describe structure-process-outcome indicators within these units.
  • To gather healthcare staff opinions on key performance metrics.

Main Methods:

  • A cross-sectional study utilized a piloted online questionnaire distributed to eligible centers.
  • Inclusion criteria focused on publicly funded geriatric rehabilitation units managed by physicians with MIR specialty.
  • Fifty-five eligible centers were identified, and 32 completed questionnaires, yielding a 58% response rate.

Main Results:

  • The study included 32 geriatricians with an average of 13.4 years of FRU experience, representing 11 provinces.
  • A significant disparity was found in bed availability per capita for older adults (>65 and >80 years) between represented provinces and national averages.
  • Staffing ratios (beds/doctor and beds/nurse) were detailed and compared against expert opinions.

Conclusions:

  • A national consensus is essential for standardizing FRU recommendations and processes.
  • Stratifying quality standards is necessary to enhance the effectiveness and efficiency of FRUs.
  • Integrating patient perspectives is crucial for improving overall care quality and standards in FRUs.