| Titre : | Effectiveness of a Wellness Program for Individuals With Spina Bifida and Spinal Cord Injury Within an Integrated Delivery System (2016) |
| Auteurs : | Brad E. Dicianno ; John Lovelace ; Pamela Peele |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2016/11, 2016) |
| Article en page(s) : | pp. 1969–1978 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Escarre ; Hospitalisation ; Médecine préventive ; Promotion de la santé ; Rééducation et réadaptation ; Sepsie ; Service hospitalier d'urgences ; Traumatismes de la moelle épinière |
| Mots-clés: | Emergency service ; hospital ; Health promotion ; Hospitalization ; Pressure ulcer ; Preventive medicine ; Spinal cord injuries ; Spinal dysraphism ; Dysraphie spinale ; Urinary tract infections ; Infections urinaires |
| Résumé : |
Objective To determine whether an evidence-based wellness program for individuals with spina bifida and spinal cord injury would improve health outcomes and patient experience of care, result in a positive return on investment (ROI), and provide evidence for scalability. Design Nonrandomized, noncontrolled cohort study; 2 years of enrollment. Setting Academic hospital-based outpatient physiatry clinic partnered with an insurance division within an integrated health care delivery and financing system. Participants Individuals (N=69) with spina bifida and spinal cord injury were consented; 4 were excluded (5.7%), and the remaining 65 (94.2%) participated in the intervention. Interventions Evidence-based wellness program consisting of care coordination from a mobile nurse, patient education, and patient incentives. Main Outcome Measures Validated measures of function, mood, quality of life, and perception of care delivery; knowledge of preventable conditions; self-rating of health; and utilization and cost. Results Improvements in all main outcome measures were seen after 2 years of enrollment. Although cost in year 1 of enrollment increased because of hospitalizations and the overall ROI was negative, a small positive ROI was seen in year 2 of enrollment. Conclusions Participation in an evidence-based wellness program was associated with improved health and experience of care. Scaling the program to larger numbers may result in an overall positive ROI. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316302416 |
Bibliothèques HE Vinci
