| Titre : | Performance-Based Outcomes of Inpatient Rehabilitation Facilities Treating Hip Fracture Patients in the United States (2015) |
| Auteurs : | Michael P. CaryJr. ; Marianne Baernholdt ; Ruth A. Anderson |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/5, 2015) |
| Article en page(s) : | p. 790-798 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Recherche sur les services de santé ; Rééducation et réadaptation |
| Mots-clés: | Health services research ; Hip fractures ; Fractures de la hanche ; Outcome assessment (health care) ; Rehabilitation centers ; Centres de rééducation et de réadaptation |
| Résumé : |
Objective To examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performance-based rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fracture. Design Secondary data analysis. Setting U.S. Medicare-certified IRFs (N=983). Participants Data included patient records of Medicare beneficiaries (N=34,364) admitted in 2009 for rehabilitation after hip fracture. Intervention Not applicable. Main Outcome Measures Performance-based outcomes included mean motor function on discharge, mean motor change (mean motor score on discharge minus mean motor score on admission), and percentage discharged to the community. Results Higher mean motor function on discharge was explained by aggregate characteristics of patients with hip fracture (lower age [P=.009], lower percentage of blacks [P<.001 and hispanics higher percentage of women motor function on admission longer length stay facility characteristics rural for profit smaller irfs the findings were similar change but was also associated with lower mean cognitive discharged to community aggregate patient age patients living others no community.> Conclusions Performance-based measurement offers health policymakers, administrators, clinicians, and consumers a major opportunity for securing health system improvement by benchmarking or comparing their outcomes with those of other similar facilities. These results might serve as the basis for benchmarking and quality-based reimbursement to IRFs for 1 impairment group: hip fracture. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315000076 |
Bibliothèques HE Vinci
