Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 11 , Pages 1535-1541 , November 2007

Postacute Rehabilitation Research and Policy Recommendations

  • Dexanne B. Clohan, MD

      Affiliations

    • HealthSouth, Birmingham, AL
    • ,
  • Elizabeth M. Durkin, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • Joy Hammel, PhD

      Affiliations

    • Departments of Occupational Therapy and Disability and Human Development, Doctoral Program in Disability Studies, University of Illinois, Chicago, IL
    • ,
  • Patrick Murray, MD, MS

      Affiliations

    • Center for Healthcare Research and Policy, Department of Physical Medicine and Rehabilitation, MetroHealth, Cleveland, OH
    • ,
  • John Whyte, MD, PhD

      Affiliations

    • Moss Rehabilitation Research Institute and Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, PA
    • ,
  • Marcel Dijkers, PhD

      Affiliations

    • Rehabilitation Medicine, Mount Sinai School of Medicine, New York, NY
    • ,
  • Bruce M. Gans, MD

      Affiliations

    • Kessler Institute for Rehabilitation, West Orange, NJ
    • Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, West Orange, NJ
    • ,
  • Daniel E. Graves, PhD

      Affiliations

    • Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX
    • ,
  • Allen W. Heinemann, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL
    • Corresponding Author InformationReprint requests to Allen W. Heinemann, PhD, Director, Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, 345 E Superior St, Chicago, IL 60611-2654
    • ,
  • Greg Worsowicz, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Missouri Columbia, School of Medicine, Columbia, MO
    • Rusk Rehabilitation Center, Columbia, MO.

References 

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  2. Duncan PW, Zorowitz R, Bates B, et al. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke. 2005;36:100–143
  3. National Institute for Health and Clinical Excellence. Pressure ulcer: the management of pressure ulcers in primary and secondary care. London: NICE; 2005;
  4. NICE (National Institute for Health and Clinical Excellence)Stephen-Haynes J. NICE pressure ulcer guideline: summary and implications for practice. Br J Community Nurs. 2006;11(6):S18, S20-4.
  5. Deficit Reduction Act of 2005, Pub L No. 109-171 (2006).
  6. Donabedian A. Evaluating the quality of medical care. 1966. Milbank Q. 2005;83:691–729
  7. Sandel ME. Disparities in post-acute stroke rehabilitation: results of an integrated health system study in Northern California. 2007;Paper presented to: State of the Science Symposium on Post-Acute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy; Feb 12; Arlington (VA).
  8. Ottenbacher KJ, Graham JE. The state-of-the-science: access to postacute care rehabilitation services. A review. Arch Phys Med Rehabil. 2007;88:1513–1521
  9. Kaplan SJ. Growth and payment adequacy of Medicare postacute care rehabilitation. Arch Phys Med Rehabil. 2007;88:1494–1499
  10. Chan L. The state-of-the-science: challenges in designing postacute care payment policy. Arch Phys Med Rehabil. 2007;88:1522–1525
  11. Deutsch A, Granger CV, Fiedler RC, et al. Outcomes and reimbursement of inpatient rehabilitation facilities and subacute rehabilitation programs for Medicare beneficiaries with hip fracture. Med Care. 2005;43:892–901
  12. Deutsch A, Granger CV, Heinemann AW, et al. Poststroke rehabilitation: outcomes and reimbursement of inpatient rehabilitation facilities and subacute rehabilitation programs. Stroke. 2006;37:1477–1482
  13. Stukel TA, Fisher ES, Wennberg DE, Alter DA, Gottlieb DJ, Vermeulen MJ. Analysis of observational studies in the presence of treatment selection bias: effects of invasive cardiac management on AMI survival using propensity score and instrumental variable methods. JAMA. 2007;297:278–285
  14. Prvu Bettger JA, Stineman MG. Effectiveness of multidisciplinary rehabilitation services in postacute care: state-of-the-science. A review. Arch Phys Med Rehabil. 2007;88:1526–1534
  15. Whyte J. Assessing medical rehabilitation practices: distinctive methodologic challenges. In:  Fuhrer MJ editors. The promise of outcomes research. Vol 2:Baltimore: Brookes; 1997;p. 43–59
  16. Whyte J. Using treatment theory to refine the designs of brain injury rehabilitation treatment effectiveness studies. J Head Trauma Rehabil. 2006;21:99–106
  17. Whiteneck G. The Community Participation Index: a measure based on constituency input and evaluated in rehabilitation client and general population surveys. 2007;Paper presented to: State of the Science Symposium on Post-Acute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy; Feb 12; Arlington (VA).
  18. Dole R. Keynote presentation. 2007;Paper presented to: State of the Science Symposium on Post-Acute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy; Feb 12; Arlington (VA).
  19. Horn S. How comorbid conditions contribute to rehabilitation admittance decisions—SNF or IRF?. 2007;Paper presented to: State of the Science Symposium on Post-Acute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy; Feb 12; Arlington (VA).
  20. Information for investigators engaged in medical rehabilitation research (Notice NOT-HD-07-005). Available at: http://grants.nih.gov/grants/guide/notice-files/NOT-HD-07-005.html. Accessed March 13, 2007.
  21. CONSORT: transparent reporting of trials. Available at: http://www.consort-statement.org. Accessed March 13, 2007.

 Supported in part by the National Institute on Disability and Rehabilitation Research through the Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness (grant no. H133B040032).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(07)01449-9

doi: 10.1016/j.apmr.2007.07.022

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 11 , Pages 1535-1541 , November 2007

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