Changes in Outcome Trends of Patients with Parkinson Disease before and after the Induction of the Long-term Care Insurance-Assessment by the Functional Independence Measure (FIM): Assessment by the Functional Independence Measure (FIM)

We investigated the effects of changes in outcome trends of patients with Parkinson disease (PD) before and after the induction of the long-term care insurance (LTCI) by the functional independence measure (FIM). Subjects consisted of 18 PD patients (11 male and 7 female; 65.2 +/- 9.4 years old) hospitalized in the Hyogo Rehabilitation Central Hospital before the induction of the LTCI, and 25 PD patients (13 male and 12 female; 69.7 +/- 6.5 years old) after the induction of the LTCI. After the induction of LTCI, the rate of home care rehabilitation decreased from 72% to 64%. The FIM total score at the time of discharge was significantly higher than that at the time of admission both before and after the induction of LTCI (p