Grass R, Weinstein E
J Ambul Care Mark. 1988;2(2):67-78.
This paper follows the development of Comprehensive Outpatient Rehabilitation Facilities (CORFs) as they emerged from the Day Hospital concept to a new healthcare delivery system. The structure, requirements for stature, reimbursement considerations and potential problems associated with CORFs are discussed. Issues relating to the care of patients with brain injuries are presented and an innovative model of an institute that individualizes a program of techniques to arouse comatose patients and trains and supports families during the process of arousal from coma, are described. The paper goes on to explore the problems and potentials for CORFs to serve as a cost effective, efficient health service delivery system for brain-injured patients with long-term rehabilitative needs.
本文追溯了综合门诊康复机构（CORFs）的发展历程，它们从日间医院概念发展成为一种新的医疗服务体系。文中讨论了CORFs的结构、规模要求、报销考量以及与之相关的潜在问题。还阐述了与脑损伤患者护理相关的问题，并描述了一种创新型机构模式，该机构针对昏迷患者制定个性化的唤醒技术方案，并在患者从昏迷中唤醒的过程中对其家庭进行培训和支持。本文接着探讨了CORFs作为一种具有成本效益、高效的医疗服务体系，为有长期康复需求的脑损伤患者提供服务时所面临的问题和潜力。
