The aim of this study was to evaluate: 1) whether the reduction in duration of in-patient rehabilitation imposed by the Italian Ministry of Health's circular of 29/6/95 has been accompanied by a decline in the results achieved; and 2) whether the system of basing payments on diagnosis related group (DRG) criteria is capable of correctly evaluating differences in post-stroke clinical pictures. The study involved 461 of 497 patients consecutively admitted between 1991 and 1996 for rehabilitation after a first stroke. The average duration of hospitalisation for the period 1995-1996 was significantly shorter (/?<0.001) than that of the previous years; at the same time, there was a significant increase (/?<0.05) in the number of poor responders in both neurological and functional (mobility) terms. Furthermore, the early discharge after 60 days of the 1995-1996 patients compromised the stabilisation of recovery and led to a subsequent functional decline. It is therefore hoped that the current regulations will be revised and that payments based on a functional related group (FRG) criterion will be introduced. © Springer-Verlag 1998.

Paolucci, S., Traballesi, M., Emberti Gialloreti, L., Pratesi, L., & Lubich S (1998). Post-stroke rehabilitation: An economic or medical priority? Current issues and prospects in light of new legislative regulations. ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES, 19(1), 25-31.

Post-stroke rehabilitation: An economic or medical priority? Current issues and prospects in light of new legislative regulations

EMBERTI, LEONARDO;PRATESI, GIOVANNI;
1998

Abstract

The aim of this study was to evaluate: 1) whether the reduction in duration of in-patient rehabilitation imposed by the Italian Ministry of Health's circular of 29/6/95 has been accompanied by a decline in the results achieved; and 2) whether the system of basing payments on diagnosis related group (DRG) criteria is capable of correctly evaluating differences in post-stroke clinical pictures. The study involved 461 of 497 patients consecutively admitted between 1991 and 1996 for rehabilitation after a first stroke. The average duration of hospitalisation for the period 1995-1996 was significantly shorter (/?<0.001) than that of the previous years; at the same time, there was a significant increase (/?<0.05) in the number of poor responders in both neurological and functional (mobility) terms. Furthermore, the early discharge after 60 days of the 1995-1996 patients compromised the stabilisation of recovery and led to a subsequent functional decline. It is therefore hoped that the current regulations will be revised and that payments based on a functional related group (FRG) criterion will be introduced. © Springer-Verlag 1998.
Pubblicato
Rilevanza internazionale
Abstract
Sì, ma tipo non specificato
Settore MED/42 - Igiene Generale e Applicata
English
Functional outcome; Rehabilitation; Stroke
Paolucci, S., Traballesi, M., Emberti Gialloreti, L., Pratesi, L., & Lubich S (1998). Post-stroke rehabilitation: An economic or medical priority? Current issues and prospects in light of new legislative regulations. ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES, 19(1), 25-31.
Paolucci, S; Traballesi, M; Emberti, L; Pratesi, G; Lubich, S
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/49504
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