Sakata R, Ostby S, Leung P
Division of Rehabilitation Counseling, University of North Carolina, Chapel Hill 27599-7205.
Brain Inj. 1991 Oct-Dec;5(4):411-9. doi: 10.3109/02699059109008114.
This study was conducted to examine functional status, costs of treatment, and how function and costs are related to the referral process of persons with traumatic head injury (THI). The study attempted to answer questions such as: what portion of the THI population is not referred on for subsequent treatment? Is referral dependent upon level of function at time of discharge from acute care? What are the costs associated with different levels of treatment by different facilities? Information was gathered from medical record reviews. Data were gathered from 101 persons with traumatic head injury (PWTHI) using a survey form, a functional assessment inventory, and a performance status scale. Per subject cost statements were obtained from the treatment/service facilities. Results indicate that the factors in the referral process for further treatment and rehabilitation do not appear to be consistent. Acute care referral at discharge is dependent upon severity of residual dysfunction including other factors than THI, while referral at discharge from a rehabilitation centre is dependent upon less obvious factors; one of which may be age at time of injury. Acute care and rehabilitation centre per patient average costs are quite similar and significantly higher than average per client costs.
本研究旨在调查创伤性脑损伤（THI）患者的功能状况、治疗成本，以及功能和成本与转诊过程之间的关系。该研究试图回答以下问题：未被转诊接受后续治疗的THI患者占比是多少？转诊是否取决于急性护理出院时的功能水平？不同医疗机构不同治疗水平的相关成本是多少？研究通过病历审查收集信息。使用调查问卷、功能评估量表和表现状态量表，从101名创伤性脑损伤患者（PWTHI）中收集数据。从治疗/服务机构获取每位患者的费用报表。结果表明，进一步治疗和康复转诊过程中的因素似乎并不一致。出院时的急性护理转诊取决于残余功能障碍的严重程度，包括THI以外的其他因素，而康复中心出院时的转诊则取决于不太明显的因素；其中一个因素可能是受伤时的年龄。急性护理和康复中心的每位患者平均成本相当相似，且显著高于每位客户的平均成本。
