Health Services Research in Rehabilitation and Disability-The Time is Now

被引:29
作者
Graham, James E. [1 ]
Middleton, Addie [1 ]
Roberts, Pamela [2 ]
Mallinson, Trudy [3 ]
Prvu-Bettger, Janet [4 ]
机构
[1] Univ Texas Med Branch, Div Rehabil Sci, 301 Univ Blvd, Galveston, TX 77555 USA
[2] Cedars Sinai, Div Informat, Los Angeles, CA USA
[3] George Washington Univ, Sch Med & Hlth Sci, Washington, DC USA
[4] Duke Univ, Med Ctr, Dept Orthopaed Surg, Durham, NC USA
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2018年 / 99卷 / 01期
基金
美国国家卫生研究院; 美国医疗保健研究与质量局;
关键词
Health services; Rehabilitation; HIP FRACTURE; HOSPITAL READMISSION; FUNCTIONAL STATUS; CARE; MEDICARE; DISCHARGE; STROKE; BENEFICIARIES; COMMUNITY; OUTCOMES;
D O I
10.1016/j.apmr.2017.06.026
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Policy drives practice, and health services research (IISR) is at the intersection of policy, practice, and patient outcomes. HSR specific to rehabilitation and disability is particularly needed. As rehabilitation researchers and providers, we are uniquely positioned to provide the evidence that guides reforms targeting rehabilitative care. We have the expertise to define the value of rehabilitation in a policy-relevant context. HSR is a powerful tool for providing this evidence. We need to continue building capacity for conducting rigorous, timely rehabilitation-related HSR. Fostering stalceholder engagement in these research efforts will ensure we maintain a patient-centered focus as we address the "Triple Aim" of better care, better health, and better value. In this Special Communication we discuss the role of rehabilitation researchers in HSR. We also provide information on current resources available in our field for conducting HSR and identify gaps for capacity building and future research. Health care reforms are a reality, and through HSR we can give rehabilitation a strong voice during these transformative times. (C) 2017 by the American Congress of Rehabilitation Medicine
引用
收藏
页码:198 / 203
页数:6
相关论文
共 42 条
[1]  
Agency for Healthcare Research and Quality, 2017, AG HEALTHC RES QUAL
[2]   Association of Rehabilitation Intensity for Stroke and Risk of Hospital Readmission [J].
Andrews, A. Williams ;
Li, Dongmei ;
Freburger, Janet K. .
PHYSICAL THERAPY, 2015, 95 (12) :1660-1667
[3]  
[Anonymous], COMPR CAR JOINT REPL
[4]  
Batavia A. I., 1990, Journal of Disability Policy Studies, V1, P37, DOI [10.1177/104420739000100103, DOI 10.1177/104420739000100103]
[5]   Patient-, Treatment-, and Facility-Level Structural Characteristics Associated With the Receipt of Preoperative Lower Extremity Amputation Rehabilitation [J].
Bates, Barbara E. ;
Hallenbeck, Richard ;
Ferrario, Toni ;
Kwong, Pui L. ;
Kurichi, Jibby E. ;
Stineman, Margaret G. ;
Xie, Dawei .
PM&R, 2013, 5 (01) :16-23
[6]   The Triple Aim: Care, health, and cost [J].
Berwick, Donald M. ;
Nolan, Thomas W. ;
Whittington, John .
HEALTH AFFAIRS, 2008, 27 (03) :759-769
[7]   Health Services Research, Medicare, and Medicaid: A Deep Bow and a Rechartered Agenda [J].
Berwick, Donald M. .
MILBANK QUARTERLY, 2015, 93 (04) :659-662
[8]   Hospital Variation in Functional Recovery After Stroke [J].
Bettger, Janet Prvu ;
Thomas, Laine ;
Liang, Li ;
Xian, Ying ;
Bushnell, Cheryl D. ;
Saver, Jeffrey L. ;
Fonarow, Gregg C. ;
Peterson, Eric D. .
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, 2017, 10 (01)
[9]   Is cost effectiveness sustained after weekend inpatient rehabilitation? 12 month follow up from a randomized controlled trial [J].
Brusco, Natasha Kareem ;
Watts, Jennifer J. ;
Shields, Nora ;
Taylor, Nicholas F. .
BMC HEALTH SERVICES RESEARCH, 2015, 15
[10]  
Center for Large Data Research and Data Sharing in Rehabilitation (CLDR), 2015, CTR