37 Challenging Rehabilitation Environment for older persons which older patients need rehabilitation after hospitalization. This is a limitation in this review. Although a CRE seems to be in place for all older patients, more studies are required on the above-mentioned topics for all diagnostic groups.6,10,12 The authors expect that all these topics may prove to be an important factor for all older patients during their rehabilitation. Based on this review, seven main topics were identified for modelling a CRE. It is important to investigate whether these topics are supported by experts, healthcare workers and patients in the field of rehabilitation, and to demonstrate the effectivity/efficiency of a CRE in prospective studies. Finally, although the use of technology shows promise for improving activity levels, no body of evidence is yet available to substantiate this.65 Therefore, more research on this topic is also required. Acknowledgments This research is part of the CREATE study (Challenging REhAbilitaTion Environment) and was funded by Oktober and De Zorgboog Disclosure The author reports no conflicts of interest in this work. 2
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