Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes
Huanguang Jia,1 Qinglin Pei,1 Charles T Sullivan,1 Diane C Cowper Ripley,1 Samuel S Wu,1 W Bruce Vogel,1 Xinping Wang,1 Douglas E Bidelspach,2 Jennifer L Hale-Gallardo,1 Barbara E Bates3 1Center of Innovation on Disability and Rehabilitation Research, North Florida/South Georgia Veterans Health Syst...
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ftdovepress:oai:dovepress.com/31631 2023-05-15T17:36:13+02:00 Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes Jia,Huanguang Pei,Qinglin Sullivan,Charles Cowper Ripley,Diane Wu,Samuel Vogel,W Wang,Xinping Bidelspach,Douglas Hale-Gallardo,Jennifer Bates,Barbara 2017-03-01 text/html https://www.dovepress.com/regional-variation-in-post-stroke-multidisciplinary-rehabilitation-car-peer-reviewed-fulltext-article-JMDH en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/JMDH.S123905 https://www.dovepress.com/regional-variation-in-post-stroke-multidisciplinary-rehabilitation-car-peer-reviewed-fulltext-article-JMDH info:eu-repo/semantics/openAccess Journal of Multidisciplinary Healthcare Original Research info:eu-repo/semantics/article 2017 ftdovepress https://doi.org/10.2147/JMDH.S123905 2022-12-27T22:10:10Z Huanguang Jia,1 Qinglin Pei,1 Charles T Sullivan,1 Diane C Cowper Ripley,1 Samuel S Wu,1 W Bruce Vogel,1 Xinping Wang,1 Douglas E Bidelspach,2 Jennifer L Hale-Gallardo,1 Barbara E Bates3 1Center of Innovation on Disability and Rehabilitation Research, North Florida/South Georgia Veterans Health System, Gainesville, FL, 2Physical Medicine and Rehabilitation Service, Department of Veterans Affairs, Washington, DC, 3Aleda E. Lutz VA Medical Center, Saginaw, MI, USA Introduction: Effective post-acute multidisciplinary rehabilitation therapy improves stroke survivors’ functional recovery and daily living activities. The US Department of Veterans Affairs (VA) places veterans needing post-acute institutional care in private community nursing homes (CNHs). These placements are made under the same rules and regulations across the VA health care system and through individual per diem contracts between local VA facilities and CNHs. However, there is limited information about utilization of these veterans’ health services as well as the geographic variation of the service utilization. Aim: The aims of this study were to determine rehabilitation therapy and restorative nursing care utilization by veterans with stroke in VA-contracted CNHs and to assess risk-adjusted regional variations in the utilization of rehabilitation therapy and restorative nursing care. Methods: This retrospective study included all veterans diagnosed with stroke residing in VA-contracted CNHs between 2006 and 2009. Minimum Dataset (a health status assessment tool for CNH residents) for the study CNHs was linked with veterans’ inpatient and outpatient data within the VA health care system. CNHs were grouped into five VA-defined geographic regions: the North Atlantic, Southeast, Midwest, Continental, and Pacific regions. A two-part model was applied estimating risk-adjusted utilization probability and average weekly utilization days. Two dependent variables were rehabilitation therapy and restorative nursing care utilization by veterans during their CNH ... Article in Journal/Newspaper North Atlantic Dove Medical Press Hale ENVELOPE(-86.317,-86.317,-78.067,-78.067) Pacific Sullivan ENVELOPE(-63.817,-63.817,-69.650,-69.650) Journal of Multidisciplinary Healthcare Volume 10 75 85 |
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Journal of Multidisciplinary Healthcare |
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Journal of Multidisciplinary Healthcare Jia,Huanguang Pei,Qinglin Sullivan,Charles Cowper Ripley,Diane Wu,Samuel Vogel,W Wang,Xinping Bidelspach,Douglas Hale-Gallardo,Jennifer Bates,Barbara Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes |
topic_facet |
Journal of Multidisciplinary Healthcare |
description |
Huanguang Jia,1 Qinglin Pei,1 Charles T Sullivan,1 Diane C Cowper Ripley,1 Samuel S Wu,1 W Bruce Vogel,1 Xinping Wang,1 Douglas E Bidelspach,2 Jennifer L Hale-Gallardo,1 Barbara E Bates3 1Center of Innovation on Disability and Rehabilitation Research, North Florida/South Georgia Veterans Health System, Gainesville, FL, 2Physical Medicine and Rehabilitation Service, Department of Veterans Affairs, Washington, DC, 3Aleda E. Lutz VA Medical Center, Saginaw, MI, USA Introduction: Effective post-acute multidisciplinary rehabilitation therapy improves stroke survivors’ functional recovery and daily living activities. The US Department of Veterans Affairs (VA) places veterans needing post-acute institutional care in private community nursing homes (CNHs). These placements are made under the same rules and regulations across the VA health care system and through individual per diem contracts between local VA facilities and CNHs. However, there is limited information about utilization of these veterans’ health services as well as the geographic variation of the service utilization. Aim: The aims of this study were to determine rehabilitation therapy and restorative nursing care utilization by veterans with stroke in VA-contracted CNHs and to assess risk-adjusted regional variations in the utilization of rehabilitation therapy and restorative nursing care. Methods: This retrospective study included all veterans diagnosed with stroke residing in VA-contracted CNHs between 2006 and 2009. Minimum Dataset (a health status assessment tool for CNH residents) for the study CNHs was linked with veterans’ inpatient and outpatient data within the VA health care system. CNHs were grouped into five VA-defined geographic regions: the North Atlantic, Southeast, Midwest, Continental, and Pacific regions. A two-part model was applied estimating risk-adjusted utilization probability and average weekly utilization days. Two dependent variables were rehabilitation therapy and restorative nursing care utilization by veterans during their CNH ... |
format |
Article in Journal/Newspaper |
author |
Jia,Huanguang Pei,Qinglin Sullivan,Charles Cowper Ripley,Diane Wu,Samuel Vogel,W Wang,Xinping Bidelspach,Douglas Hale-Gallardo,Jennifer Bates,Barbara |
author_facet |
Jia,Huanguang Pei,Qinglin Sullivan,Charles Cowper Ripley,Diane Wu,Samuel Vogel,W Wang,Xinping Bidelspach,Douglas Hale-Gallardo,Jennifer Bates,Barbara |
author_sort |
Jia,Huanguang |
title |
Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes |
title_short |
Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes |
title_full |
Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes |
title_fullStr |
Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes |
title_full_unstemmed |
Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes |
title_sort |
regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes |
publisher |
Dove Press |
publishDate |
2017 |
url |
https://www.dovepress.com/regional-variation-in-post-stroke-multidisciplinary-rehabilitation-car-peer-reviewed-fulltext-article-JMDH |
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ENVELOPE(-86.317,-86.317,-78.067,-78.067) ENVELOPE(-63.817,-63.817,-69.650,-69.650) |
geographic |
Hale Pacific Sullivan |
geographic_facet |
Hale Pacific Sullivan |
genre |
North Atlantic |
genre_facet |
North Atlantic |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/JMDH.S123905 https://www.dovepress.com/regional-variation-in-post-stroke-multidisciplinary-rehabilitation-car-peer-reviewed-fulltext-article-JMDH |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/JMDH.S123905 |
container_title |
Journal of Multidisciplinary Healthcare |
container_volume |
Volume 10 |
container_start_page |
75 |
op_container_end_page |
85 |
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1766135629992689664 |