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Critical Reviews™ in Physical and Rehabilitation Medicine

Published 4 issues per year

ISSN Print: 0896-2960

ISSN Online: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

Indexed in

Rehabilitation Services Funding and Rehabilitation Outcomes: Does One Affect the Other?

Volume 18, Issue 2, 2006, pp. 173-186
DOI: 10.1615/CritRevPhysRehabilMed.v18.i2.50
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ABSTRACT

In any society, decisions regarding the allocation of economic resources are a reflection of that society's priorities. Nowhere is this truer than in health care systems. However, the health care industry is not a truly open marketplace, in that the consumer or payer does not always know what he is buying. Outcome measurement is one attempt to “level the playing field” and is intended to allow transparency and comparison between health care providers and between different technologies. In rehabilitation, outcome measurement is a particularly difficult task, given the complex interaction among many patient variables and different treatment methodologies. Notwithstanding these difficulties, health care systems are increasingly demanding the implementation of evidence-based medicine (EBM) and outcome measurement (OM) in rehabilitation. Thus, the provision of rehabilitation services is becoming increasingly similar to a consumer purchasing a product about which he demands a right to know, in terms of quality, quantity, and results. As this relationship strengthens, the payment is bound to influence the medical outcome, and vice versa. This review explores the possible bidirectional influences of these two characteristics in rehabilitation. A model is proposed that attempts to optimize this relationship for the benefit of patients and society at large.

CITED BY
  1. Treger Iuly, Ring Haim, Schwartz Roseline, Tsabari Rakefet, Bornstein Nathan M., Tanne David, Hospital Disposition After Stroke in a National Survey of Acute Cerebrovascular Diseases in Israel, Archives of Physical Medicine and Rehabilitation, 89, 3, 2008. Crossref

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