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Titre : | Postacute Care: Reasons for Its Growth and a Proposal for Its Control Through the Early Detection, Treatment, and Prevention of Hospital-Acquired Disability (2014) |
Auteurs : | Andrea L. Cheville ; Jeffrey R. Basford |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/11, 2014) |
Article en page(s) : | p. 1997-1999 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Politique de santé ; Rééducation et réadaptation ; Soins de suite |
Mots-clés: | Health Policy ; Subacute Care ; Insurance ; Health ; Reimbursement ; Remboursement par l'assurance maladie |
Résumé : | Postacute care costs have doubled over the past decade and now account for 17% of Medicare fee-for-service spending. Costs are forecast to continue to rise, paradoxically in large part in response to federal policies and efforts to control health care costs. This commentary introduces a potential solution to this situation and is divided into 4 parts. The first provides a brief review of the policies fostering this growth. The second assesses how the responses of health care providers, while inherently rational, are destructive to the system. The third identifies hospital-acquired disability as a modifiable driver in this scenario, and the fourth discusses how an improvement in detection and a redistribution of hospital-based rehabilitation services may be able to reverse this unsustainable growth. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931400923X |