Verification Status, Rehabilitation Staffing, and Care Practices in U.S Outpatient Burn Clinics

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ID: 318021
2026
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Abstract
Skilled occupational and physical therapists (OT/PT) provide essential services during outpatient (OP) burn follow-up to support comprehensive long-term recovery. Although ABA verification promotes burn therapist (OT/PT) integration in OP burn clinics, barriers related to staffing, time, and space remain, and little is known about burn therapist integration post-discharge. This study examined the relationship between both verification status and use of burn therapy services in OP burn clinics with three aspects of follow-up care: clinic structure and staffing; rehabilitation access and care delivery models; and patient access, barriers, and continuity of care. A 20-question electronic survey was distributed to 125 U.S. burn centers. Fisher's exact and chi-square tests were used for bivariate analyses, and Firth penalized logistic regression for multivariable analyses. Responses were received from 54 centers (43%). Most centers were ABA-verified (61%), and 65% reported dedicated burn therapists in the OP clinic. In multivariable analysis, therapist presence was not independently associated with verification status but was significantly associated with burn surgeon-led reconstruction programs (OR = 4.19, p = .043) and presence of garment programs (OR = 8.58, p = .043). Holding verification status constant, presence of dedicated OP burn therapy staff was significantly associated with increased outpatient rehabilitation utilization, including higher odds of clinic-based burn therapy referrals (OR = 9.20, p = .002) and post- reconstruction burn therapy follow-up (OR = 3.66, p = .042). These findings suggest that verification supports the integration of therapists, but that therapist presence itself is a critical factor driving comprehensive long-term rehabilitation.
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openalex_W7165370386 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Audrey M O'Neil, Ingrid Parry, Derek O Murray, Rodica I Muraru, Emma Holler, Kevin Foster, Leigh Spera, Soman Sen
Journal journal of burn care & research : official publication of the american burn association
Year 2026
DOI
10.1093/jbcr/irag101
URL
https://doi.org/10.1093/jbcr/irag101
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