Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Mandated Quality of Care Metrics for Medicare Patients: Examining New or Worsened Pressure Ulcers and Rehabilitation Outcomes in United States Inpatient Rehabilitation Facilities (2018) |
Auteurs : | Margaret A. DiVita ; Carl V. Granger ; Richard Goldstein |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
Article en page(s) : | p. 1514-1524 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Indicateurs qualité santé ; Politique de santé ; Rééducation et réadaptation |
Mots-clés: | Health policy ; Outcome assessment (health care) ; Quality indicators ; health care |
Résumé : |
Objective To examine the association between the Medicare pressure ulcer quality indicator (the development of new or worsened pressure ulcers) and rehabilitation outcomes among Medicare patients seen in an inpatient rehabilitation facility (IRF). Design Retrospective descriptive study. Setting IRFs subscribed to the Uniform Data System for Medical Rehabilitation. Participants Nearly 500,000 IRF Medicare patients who were discharged between January 2013 and September 2014 were examined. Interventions Not applicable. Main Outcome Measures Functional independence, functional change (gain), and discharge destination. Results The pressure ulcer quality indicator was associated with poorer rehabilitation outcomes; patients were less likely to achieve functional independence (odds ratio [OR], .47; 95% confidence interval [CI], .44.51), were less likely to be discharged to a community setting (OR, .88; 95% CI, .82.95), and made less functional gain during their IRF stay (a difference of 6 FIM points). Conclusions These results support that the pressure ulcer quality indicator is associated with lower quality of rehabilitation outcomes; however, given that those patients with a new or worsened pressure injury still made functional gains and most were discharged to the community, the risk of pressure injury development should not preclude the admission of these cases to an IRF. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318302144 |