Abstract:
OBJECTIVE:To evaluate inpatient rehabilitation in public facilities in Australia against a utilization review tool used in the USA. DESIGN:Prospective cohort study. SUBJECTS:Patients identified in the acute wards of a regional referral hospital and subsequently transferred to a public inpatient rehabilitation facility. METHODS:The InterQual utilization review criteria were applied to days of stay in the rehabilitation wards. Reasons for variance and actual therapy time were recorded. RESULTS:Data on 267 patient episodes (7359 days) are available. Only 48% of patient days met utilization review criteria, with reasons for variance including insufficient therapy, awaiting discharge to long-term care or to home and being more appropriate for acute medical care. Therapy time data (available on 208 patient episodes) show that therapy was received on 50% of calendar days and for an average of 37 min per weekday (56 min for stroke patients). Allied health staffing levels were below recommended levels, but consistent with other Australian public hospital rehabilitation facilities. CONCLUSION:Patients in these facilities seem to be receiving less therapy than their American counterparts; however, therapists often viewed their rehabilitation as appropriate. Findings also suggest inefficiencies in care delivery. Utilization review may help in the assessment of level of care appropriateness in the rehabilitation setting.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Poulos CJdoi
10.2340/16501977-0506subject
Has Abstractpub_date
2010-03-01 00:00:00pages
246-53issue
3eissn
1650-1977issn
1651-2081journal_volume
42pub_type
杂志文章abstract:OBJECTIVE:To update the evidence surrounding the presence of anxiety after stroke. DATA SOURCES:A search was conducted in EMBASE, MEDLINE, PsycINFO, Cochrane Library, AMED and CINAHL in May 2015 and repeated in April 2017. STUDY SELECTION:Clinical diagnosis of stroke and assessed for anxiety symptoms on a rating scal...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,meta分析,评审
doi:10.2340/16501977-2384
更新日期:2018-09-28 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine the intervention costs of a residential community reintegration programme for patients with acquired brain injury and to compare the societal costs before and after treatment. METHODS:A cost-analysis was performed identifying costs of healthcare, informal care, and ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0818
更新日期:2011-06-01 00:00:00
abstract::Cancer can cause multiple impairments, activity limitations and participation restrictions. According to individual case findings and needs, rehabilitation treatment is varied. The review mainly focuses on specific problems. Because of functional deficits cancer patients suffer from persistent emotional and social dis...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1080/16501970306129
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:To determine whether transcranial direct current stimulation augments the analgesic effect of breathing-controlled electrical stimulation in patients with spinal cord injury who have chronic neuropathic pain. DESIGN:Sham-controlled, single-blinded, single-centre, cross-over study of 12 participants with inco...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2379
更新日期:2018-09-28 00:00:00
abstract:OBJECTIVE:Sex-specific medicine requires understanding of the specific therapeutic needs and patho-physiology of men and women. In these terms, we investigated sex-related differences in the gait kinematics of patients with Down syndrome. DESIGN:Retrospective observational cohort study. SUBJECTS:A sample of 230 patie...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2507
更新日期:2019-02-01 00:00:00
abstract::Studies published from January 1966 until October 2000 on the clinical effects of focal neuronal and neuromuscular blockade in post stroke upper limb spasticity were identified. Twelve studies were included and evaluated on 13 methodological criteria. Ten studies on Botulinum toxin type A (BTX-A) treatment were found ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1080/165019702753557836
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To examine the relevance and completeness of the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Sets for patients with rehabilitation needs in acute hospital care. DESIGN:Multi-centre cohort study. PATIENTS:A total of 391 patients (50.1% female, mean age 63.4 yea...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,多中心研究
doi:10.2340/16501977-0622
更新日期:2011-01-01 00:00:00
abstract::There is a need to develop a contemporary and internationally accepted conceptual description of physical and rehabilitation medicine (PRM). The process of evolving such a definition can now rely on the unifying conceptual model and taxonomy of the International Classification of Functioning, Disability and Health (IC...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0044
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To evaluate a structured physiotherapy treatment model in patients who qualify for lumbar disc surgery. DESIGN:A prospective cohort study. PATIENTS:Forty-one patients with lumbar disc herniation, diagnosed by clinical assessments and magnetic resonance imaging. METHODS:Patients followed a structured physio...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1255
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To identify predictive factors for work capacity in patients with musculoskeletal disorders. DESIGN:A descriptive, evaluative, quantitative study. SUBJECTS/PATIENTS:The study was based on 385 patients who participated in a rehabilitation programme. METHODS:Patients were divided into 2 groups depending on t...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501970510030255
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:The Wheelchair Mobility Performance (WMP) test is a reliable and valid measure to assess mobility performance in wheelchair basketball. The aim of this study was to examine the sensitivity to change of the WMP test by manipulating wheelchair configurations. METHODS:Sixteen wheelchair basketball players perfo...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2341
更新日期:2018-06-15 00:00:00
abstract:OBJECTIVE:Goal attainment scaling represents a unique approach to identifying and quantifying individualized, meaningful treatment outcomes, and its use in the rehabilitation medicine setting is increasing. The aim of this paper is to discuss the available literature for goal attainment scaling in patients with acquire...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0664
更新日期:2011-01-01 00:00:00
abstract::According to Antonovsky, the individual's sense of coherence is assumed to be crucial in coping with stressful life events. The purpose of this study was to investigate the associations between the sense of coherence of the spouses of stroke victims, the objective severity of the stroke and the spouses' perception of ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/165019702753714156
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:To examine the construct and rating scale of the Assessment of Capacity for Myoelectric Control, an assessment to evaluate ability in using a prosthetic hand. DESIGN:Cross-sectional study. SUBJECTS:Upper limb prosthesis users with different prosthetic levels/sides and prosthetic experience were included (n ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0361
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Cognitive behavioural therapy does not reduce fatigue in post-polio syndrome, but is effective in facioscapulohumeral dystrophy. This difference in efficacy might be explained by a different role of cognitions in these conditions. OBJECTIVE:To compare fatigue-related cognitions between patients with post-po...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2247
更新日期:2017-07-07 00:00:00
abstract:OBJECTIVE:To compare life satisfaction within couples one year after a partner's stroke and with norm values and social factors. SUBJECTS AND METHODS:A total of 56 couples were consecutively included. The respondents estimated life satisfaction using the Life Satisfaction Checklist 9-item version. Patients' impairment...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0048
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:To investigate the support given to young children of patients with stroke by rehabilitation teams and to identify characteristics of the patients, spouses and children that relate to children's adjustment 2 months after the patient's discharge. SUBJECTS AND METHODS:Seventy-seven children (< or =18 years of ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501970510025990
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:To investigate the validity and reliability of the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), a brief questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease. DESIGN:Methodological research (cross-sectional study). SUBJECTS:A total of 332 patients, mean age...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0942
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of an extended stroke unit service with early supported discharge on balance and walking speed, and to explore the association between initial leg paresis, initial movement ability and balance one year after stroke. DESIGN:A randomized controlled trial comparing early supported dischar...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/16501970600780294
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to explore the experiences of patients with burnout during a rehabilitation programme. PATIENTS AND METHODS:Eighteen patients with burnout were interviewed at the end of a one-year rehabilitation programme. The programme consisted of 2 groups, one with a focus on cognitively-oriente...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0534
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for depression. METHODS:A formal decision-making and consensus process integrating evidence gathered from preliminary studies w...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501960410016055
更新日期:2004-07-01 00:00:00
abstract::Patients after stroke conventionally receive much of their rehabilitation in hospital. Services have been developed that offer patients an early discharge from hospital with more rehabilitation at home (early supported discharge). This paper sets out a systematic review of all randomized trials of early supported disc...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.2340/16501977-0042
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:To investigate whether somatosensory impairments are more common in individuals with post-stroke shoulder pain than in those without post-stroke shoulder pain and healthy controls. DESIGN:Descriptive analysis of a convenience sample. PARTICIPANTS:Forty-nine individuals with stroke, 24 with and 25 without po...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1274
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:To assess sports participation in young adults with myelomeningocele and its association with personal, disease-related and psychosocial factors, physical activity and fitness. DESIGN:Cross-sectional study. SUBJECTS:Fifty-one persons (26 males) with myelomeningocele , mean age 21.1 (standard deviation 4.5) ...
journal_title:Journal of rehabilitation medicine
pub_type: 历史文章,杂志文章
doi:10.2340/16501977-0239
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:To estimate the efficiency of inpatient rehabilitation for patients after stroke in Thailand. DESIGN:Multi-centre, prospective study. SUBJECTS:Patients after stroke, aged >or= 18 years, with stable medical signs, able to follow 1-step commands and to sit for at least 30 min. METHODS:Main outcomes included ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,多中心研究
doi:10.2340/16501977-0288
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To determine the joint position sense of the lower extremities and its relationship with motor function in children with developmental coordination disorder (DCD) and typically developing (TD) children. METHODS:A total of 56 participants were recruited; 28 children with DCD (age 10.86±1.07 years; 13 females,...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2720
更新日期:2020-08-24 00:00:00
abstract:OBJECTIVE:Physical and sonographic evaluation of hemiplegic shoulder in patients after acute stroke and correlation between the physical/sonographic findings and early-onset hemiplegic shoulder pain. DESIGN:Cross-sectional study. SUBJECTS:Fifty-seven patients after stroke with hemiplegic shoulder. METHODS:Subjects w...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0488
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:To assess the associations between psychological factors and return to work among long-term sickness absentees. DESIGN:Longitudinal study with a 3-year follow-up. SUBJECTS:Long-term sickness absentees (n = 905) who had undergone a multidisciplinary medical assessment. METHODS:Three years after multidiscipl...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1077
更新日期:2013-02-01 00:00:00
abstract::The aim was to study the psychometric properties of the Swedish version of the Chronic Pain Coping Inventory. The material consisted of a group of 100 subjects recruited from a large population study. Pain status and the absence of pain-related sick leave during the previous year conditioned inclusion. Another group c...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/165019702317242686
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:Obese patients require sustained lifestyle changes to reduce their health risks. We therefore developed a combined planning and telephone aftercare intervention based on the Health Action Process Approach to enhance physical activity after inpatient rehabilitation for obesity. DESIGN:Randomized controlled tr...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-1095
更新日期:2013-02-01 00:00:00