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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.5

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v14.i34.30
18 pages

Patient-Centered Rehabilitation: Problems and Opportunities

Mark N. Ozer
National Rehabilitation Hospital, 102 Irving Street, NW, 4th floor, Washington, DC 20010
Thilo Kroll
National Rehabilitation Hospital Center for Health and Disability Research, Washington, DC

ABSTRACT

Interest in patient-centered care (PCC) is growing within the medical provider community. This article describes the application of PCC principles in medical rehabilitation practice and outcome assessment. Patientcentered rehabilitation aims to incorporate the individual patient’s needs, values, and expectations in the planning and decision-making processes about rehabilitative care. Patients are perceived as active collaborators in clinical planning and evaluation efforts. The authors argue that incorporating patients’ personal outcome goals in clinical rehabilitation will produce better functional outcomes and greater cost effectiveness. The article is divided into three parts. The first part introduces the rationale for patient-centered rehabilitation and outlines some of its central characteristics. The second part critically discusses the current practice of outcome measurement. The authors further present alternative designs and assessment methods in outcome evaluation, including the use of single-subject designs, goal attainment scaling, and qualitative methods. The final part of the article outlines some principles for greater patient-centeredness in rehabilitation.


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