Factors influencing the decision to rehabilitate: An initial comparison of rehabilitation candidates
This study classified consecutive admissions to a U.S. Department of Veteran Affairs Medical Center. Patients on acute medical and surgical wards ( n = 3170) were divided into clinical subgroups based on diagnostic, prognostic and functional criteria. The groups were: (1) independent; (2) terminal;...
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| Veröffentlicht in: | Social science & medicine (1982) 1991, Vol.33 (7), p.801-806 |
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| creator | Evans, Ron L. Haselkorn, Jodie K. Bishop, Duane S. Hendricks, Robert D. |
| description | This study classified consecutive admissions to a U.S. Department of Veteran Affairs Medical Center. Patients on acute medical and surgical wards (
n = 3170) were divided into clinical subgroups based on diagnostic, prognostic and functional criteria. The groups were: (1) independent; (2) terminal; (3) medical; (4) dementia; and (5) rehabilitation candidate. Medical record data from hospital admission, discharge and 9 month follow-up were collected. The groups had unique patterns of survival, residence and use of health care services during follow-up. Subsequently, rehabilitation participants were compared with a group similar in age, major diagnostic category and functional ability, who did not receive rehabilitation. Twenty-one percent of persons meeting study criteria for rehabilitation received rehabilitation services. At follow-up, participants in rehabilitation had lower mortality, spent less time in skilled care and were less frequently hospitalized. Although exploratory in nature, this study supports previously observed benefits of rehabilitation. In combination with clinical assessment, the process of identifying patient subgroups may be useful in planning interventions more uniformly and in developing measures to reduce selection bias in rehabilitation admission decisions. |
| doi_str_mv | 10.1016/0277-9536(91)90384-O |
| format | Article |
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n = 3170) were divided into clinical subgroups based on diagnostic, prognostic and functional criteria. The groups were: (1) independent; (2) terminal; (3) medical; (4) dementia; and (5) rehabilitation candidate. Medical record data from hospital admission, discharge and 9 month follow-up were collected. The groups had unique patterns of survival, residence and use of health care services during follow-up. Subsequently, rehabilitation participants were compared with a group similar in age, major diagnostic category and functional ability, who did not receive rehabilitation. Twenty-one percent of persons meeting study criteria for rehabilitation received rehabilitation services. At follow-up, participants in rehabilitation had lower mortality, spent less time in skilled care and were less frequently hospitalized. Although exploratory in nature, this study supports previously observed benefits of rehabilitation. In combination with clinical assessment, the process of identifying patient subgroups may be useful in planning interventions more uniformly and in developing measures to reduce selection bias in rehabilitation admission decisions.</description><subject>Activities of Daily Living</subject><subject>Biological and medical sciences</subject><subject>Decision Making</subject><subject>decision making techniques</subject><subject>Decision Support Techniques</subject><subject>Diagnosis</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health care industry</subject><subject>hospital readmission</subject><subject>hospital readmission decision making techniques rehabilitation</subject><subject>Hospitals</subject><subject>Hospitals, Veterans - statistics & numerical data</subject><subject>Humans</subject><subject>Inpatients - classification</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nursing Assessment</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Rehabilitation - statistics & numerical data</subject><subject>Treatment Outcome</subject><subject>United States of America</subject><subject>USA</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkk-LFDEQxRtR1nH1Gyg0IqKH1qSTdBIPwrK4_mFhLnsPmaTaydLdGZP0wn57q-1hEA_q4SWH_F5RlVdV9ZySd5TQ7j1ppWy0YN0bTd9qwhRvtg-qDVWSNYJx-bDanJDH1ZOcbwkhlCh2Vp1RzRWVdFP5K-tKTLkOUz_MMLkwfa_LHmoPLuQQp7rEOsHe7sIQii3wob6YEA4l2KF2cTzYFDJisf8dW4zOTj54tOSn1aPeDhmeHe_z6ubq083ll-Z6-_nr5cV14wRvS6NVpz310gPtPWuZdjsN2irQpHfK7UA667z1LaOcOCa7TnSCQSuE6KgS7Lx6vZY9pPhjhlzMGLKDYbATxDkb2XJJJX7Av8COtrIl_1FRSCWQ5Ai-_AO8jXOacFjTMsIF57RFiK-QSzHnBL05pDDadG8oMUukZsnLLHkZTc2vSM0Wbd9WW4IDuJMHAHJ0I3hzZ5hlDI97FNVoZTagJOqAUoQaRTqzLyMWe3FsdN4t3lMH60Lg-6vju83ODn2yuBL5hAkiOfaH2McVA4zzLkAy2QXcHvAhgSvGx_D3oX4CnpHWIQ</recordid><startdate>1991</startdate><enddate>1991</enddate><creator>Evans, Ron L.</creator><creator>Haselkorn, Jodie K.</creator><creator>Bishop, Duane S.</creator><creator>Hendricks, Robert D.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>1991</creationdate><title>Factors influencing the decision to rehabilitate: An initial comparison of rehabilitation candidates</title><author>Evans, Ron L. ; Haselkorn, Jodie K. ; Bishop, Duane S. ; Hendricks, Robert D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-9869d1d7de1fd3239cb9e9a8e90fc8cbe7cacdad23140c37665653e255561853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Activities of Daily Living</topic><topic>Biological and medical sciences</topic><topic>Decision Making</topic><topic>decision making techniques</topic><topic>Decision Support Techniques</topic><topic>Diagnosis</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health care industry</topic><topic>hospital readmission</topic><topic>hospital readmission decision making techniques rehabilitation</topic><topic>Hospitals</topic><topic>Hospitals, Veterans - statistics & numerical data</topic><topic>Humans</topic><topic>Inpatients - classification</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nursing Assessment</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Rehabilitation - statistics & numerical data</topic><topic>Treatment Outcome</topic><topic>United States of America</topic><topic>USA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Evans, Ron L.</creatorcontrib><creatorcontrib>Haselkorn, Jodie K.</creatorcontrib><creatorcontrib>Bishop, Duane S.</creatorcontrib><creatorcontrib>Hendricks, Robert D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Evans, Ron L.</au><au>Haselkorn, Jodie K.</au><au>Bishop, Duane S.</au><au>Hendricks, Robert D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors influencing the decision to rehabilitate: An initial comparison of rehabilitation candidates</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>1991</date><risdate>1991</risdate><volume>33</volume><issue>7</issue><spage>801</spage><epage>806</epage><pages>801-806</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>This study classified consecutive admissions to a U.S. Department of Veteran Affairs Medical Center. Patients on acute medical and surgical wards (
n = 3170) were divided into clinical subgroups based on diagnostic, prognostic and functional criteria. The groups were: (1) independent; (2) terminal; (3) medical; (4) dementia; and (5) rehabilitation candidate. Medical record data from hospital admission, discharge and 9 month follow-up were collected. The groups had unique patterns of survival, residence and use of health care services during follow-up. Subsequently, rehabilitation participants were compared with a group similar in age, major diagnostic category and functional ability, who did not receive rehabilitation. Twenty-one percent of persons meeting study criteria for rehabilitation received rehabilitation services. At follow-up, participants in rehabilitation had lower mortality, spent less time in skilled care and were less frequently hospitalized. Although exploratory in nature, this study supports previously observed benefits of rehabilitation. In combination with clinical assessment, the process of identifying patient subgroups may be useful in planning interventions more uniformly and in developing measures to reduce selection bias in rehabilitation admission decisions.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>1948171</pmid><doi>10.1016/0277-9536(91)90384-O</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0277-9536 |
| ispartof | Social science & medicine (1982), 1991, Vol.33 (7), p.801-806 |
| issn | 0277-9536 1873-5347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72471708 |
| source | MEDLINE; RePEc; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Activities of Daily Living Biological and medical sciences Decision Making decision making techniques Decision Support Techniques Diagnosis Diseases of the osteoarticular system. Orthopedic treatment Female Follow-Up Studies Health care industry hospital readmission hospital readmission decision making techniques rehabilitation Hospitals Hospitals, Veterans - statistics & numerical data Humans Inpatients - classification Male Medical research Medical sciences Middle Aged Nursing Assessment Patient Readmission - statistics & numerical data Patients Prognosis Prospective Studies Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Rehabilitation - statistics & numerical data Treatment Outcome United States of America USA |
| title | Factors influencing the decision to rehabilitate: An initial comparison of rehabilitation candidates |
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