Article

This issue of Archives includes an article by Mallinson et al that compares the
outcomes of patients with hip fracture who received rehabilitation services in 3
different postacute settings: skilled nursing facilities, inpatient
rehabilitation facilities, or home health. Except in 1 instance, Mallinson found
no setting-specific effects and noted that the issue of defining an optimum
postacute rehabilitation program is complex and requires more investigation.
Mallinson's findings are interesting in their own right but raise a more
fundamental issue. This commentary observes that rehabilitation patients
typically use multiple postacute settings, not just 1 setting of care, for the
same episode of care. This commentary asks whether we should be examining episode
outcomes and not just setting-specific outcomes, especially in the face of
bundled payment and value-based payment reforms in the Affordable Care Act.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS