First Do No Harm: An Opinion on Bundled Care for Stroke Patients

被引：4

作者：

Ashley, Mark J. ^{[1
]}

Gordon, Wayne A. ^{[2
]}

Masel, Brent E. ^{[1
,3
]}

Thomas, Peter W. ^{[4
]}

Connors, Susan H. ^{[5
]}

机构：

[1] Ctr Neuro Skills, Bakersfield, CA USA

[2] Icahn Sch Med Mt Sinai, 3 East 101 St, New York, NY 10029 USA

[3] Univ Texas Med Branch, Dept Neurol, Galveston, TX 77555 USA

[4] Powers Law Firm, Washington, DC USA

[5] Brain Injury Assoc Amer, Vienna, VA USA

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2019年 / 100卷 / 03期

关键词：

Rehabilitation; Stroke; FUNCTIONAL RECOVERY; REHABILITATION INTENSITY; GUIDELINES; THERAPY; RISK;

D O I：

10.1016/j.apmr.2018.10.003

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

The Center for Medicare and Medicaid Innovation under the Centers for Medicare and Medicaid Services has invited institutions to demonstrate ways to bundle services into a 90-day episode of acute care that will lower costs and hospital re-admission rates. While these goals are laudable, they overlook the need for and value attained in postacute treatment. This article argues for elimination of the diagnosis of stroke from the proposed demonstration project due to misaligned financial incentives that will severely compromise patient outcomes. (C) 2018 by the American Congress of Rehabilitation Medicine

引用

页码：578 / 580

页数：3

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