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Postacute care: reasons for its growth and a proposal for its control through the early detection, treatment, and prevention of hospital-acquired disability.

Abstract：

: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.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Cheville AL,Basford JR

doi

10.1016/j.apmr.2014.07.397

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

1997-9

issue

11

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)00923-X

journal_volume

95

pub_type

杂志文章

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