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Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region.

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Date
2016-04
Authors
Magdon-Ismail, Zainab
Sicklick, Alyse
Hedeman, Robin
Bettger, Janet Prvu
Stein, Joel
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Abstract
The process of determining the level of care and specific postacute care facility for stroke patients has not been adequately studied. The objective of this study was to better understand the factors that influence postacute care decisions by surveying stroke discharge planners. Requests were sent to discharge planners at 471 hospitals in the Northeast United States to complete an online survey regarding the factors impacting the selection of postacute care. Seventy-seven (16%) discharge planners completed the online survey. Respondents were mainly nurses and social workers and 73% reported ≥20 years healthcare experience. Patients and families were found to be significantly more influential than physicians (P < 0.001) and other clinicians (P = 0.04) in influencing postdischarge care. Other clinicians were significantly more influential than physicians (P < 0.001). Insurance and quality of postacute care were the factors likely to most affect the selection of postacute care facility. Insurance was also identified as the greatest barrier in the selection of level of postacute care (70%; P < 0.001) and specific postacute care facility (46%; P = 0.02). More than half reported that pressure to discharge patients quickly impacts a patients' final destination. Nonclinical factors are perceived by discharge planners to have a major influence on postacute stroke care decision making.
Type
Journal article
Subject
Acute Disease
Female
Humans
Incidence
Male
New England
New Jersey
New York
Patient Discharge
Pilot Projects
Rehabilitation Centers
Stroke
Stroke Rehabilitation
Surveys and Questionnaires
Survival Rate
Permalink
https://hdl.handle.net/10161/11982
Published Version (Please cite this version)
10.1097/MD.0000000000003206
Publication Info
Magdon-Ismail, Zainab; Sicklick, Alyse; Hedeman, Robin; Bettger, Janet Prvu; & Stein, Joel (2016). Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region. Medicine (Baltimore), 95(16). pp. e3206. 10.1097/MD.0000000000003206. Retrieved from https://hdl.handle.net/10161/11982.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Bettger

Janet Prvu Bettger

Associate Professor in Orthopaedic Surgery
Dr. Bettger’s research is dedicated to establishing real world evidence aimed to improve health care quality and policies that reduce the burden of disease and disability. As a health services researcher and implementation scientist, her research extends from observational studies to randomized and pragmatic trials. She is currently the Director of Duke Roybal Center for Translational Research in the Behavioral and Social Sciences of Aging and Director of Undergraduate Initiatives
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