Murray P K, Singer M E, Fortinsky R, Russo L, Cebul R D
Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland, OH, USA.
Arch Phys Med Rehabil. 1999 Apr;80(4):372-8. doi: 10.1016/s0003-9993(99)90272-1.
To describe the changes in rehabilitation therapy services in nursing homes based in the community during a period of rapid escalation of Medicare payments to nursing homes.
All Medicaid-certified nursing homes in Ohio.
The 52,705 residents newly admitted to nursing homes in 1994 and 1995.
Retrospective trend analysis of administrative data.
For newly admitted residents receiving 90 or more minutes of rehabilitation therapy per week, the trends in percentage and in the amount and type of therapy received were determined for eight quarters.
Of all newly admitted residents, 50.5% received 90 or more minutes of therapy. When they received such therapy it averaged 412 minutes per week (SD = 259). Those residents who received rehabilitation services increased by 2.2% each quarter (p<.001), and the amount of therapy they received increased by 6.4 minutes each quarter (p<.0001). All three types of rehabilitation therapy-physical, occupational, and speech-increased (p<.015) over the study period.
The traditional nursing home is an important site for the provision of rehabilitation therapy services. Rehabilitation specialists should be aware of these trends as they plan for the future of rehabilitation. The effectiveness of this increased provision of therapy service in terms of measurable outcomes needs to be evaluated.
描述在医疗保险向疗养院支付费用迅速增加的时期内，社区疗养院康复治疗服务的变化情况。
俄亥俄州所有获得医疗补助认证的疗养院。
1994年和1995年新入住疗养院的52,705名居民。
对管理数据进行回顾性趋势分析。
对于每周接受90分钟或更长时间康复治疗的新入住居民，确定八个季度内接受治疗的百分比、治疗量和治疗类型的趋势。
在所有新入住居民中，50.5%接受了90分钟或更长时间的治疗。当他们接受此类治疗时，平均每周412分钟（标准差=259）。接受康复服务的居民每季度增加2.2%（p<0.001），他们接受的治疗量每季度增加6.4分钟（p<0.0001）。在研究期间，物理治疗、职业治疗和言语治疗这三种康复治疗类型均有所增加（p<0.015）。
传统疗养院是提供康复治疗服务的重要场所。康复专家在规划康复未来时应了解这些趋势。需要评估这种增加的治疗服务在可衡量结果方面的有效性。
