Medical rehabilitation system for patients in acute rehabilitation units

Article information

J Korean Med Assoc. 2017;60(11):864-869
Publication date (electronic) : 2017 November 16
doi : https://doi.org/10.5124/jkma.2017.60.11.864
1Department of Physical Medicine and Rehabilitation, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea.
2Bethesda Hospital, Suwon, Korea.
3National Traffic Injury Rehabilitation Hospital, Yangpyeong, Korea.
Corresponding author: Seung Don Yoo. kidlife@khu.ac.kr
Received 2017 September 12; Accepted 2017 September 26.

Abstract

Acute-phase rehabilitation hospitals focus on managing disabilities, reducing sequelae and symptoms, and enhancing social reintegration, to provide patients with the highest possible independence and the best quality of life. In order to achieve these goals, it is necessary to ensure the appropriate length of hospital stays based on a consideration of disease severity and patients' potential for rehabilitation, as well as to provide multidisciplinary rehabilitation. Multidisciplinary rehabilitation has been shown to be effective in the management of complex or severe conditions. Hospitals should include rehabilitation centers (specialized rehabilitation units) for patients with complex or severe needs. Starting in acute settings, specialized rehabilitation wards provide intensive, highly specialized interventions to restore function to patients with complex rehabilitation needs. Financial resources should be allocated to rehabilitation services to implement recommendations for the delivery of medical services In Korea, the appropriate allocation of resources for rehabilitation could increase both the availability and the quality of rehabilitation services by facilitating the establishment of specialized rehabilitation units in acute settings.

References

1. World Health Organization. World health statistics 2016: monitoring health for the SDGs Geneva: World Health Organization; 2016.
2. World Health Organization. World report on disability [Internet] Geneva: World Health Organization; 2011. cited 2017 Oct 30. Available from: http://www.who.int/disabilities/world_report/2011/en/.
3. Silow-Carroll S, Edwards JN, Lashbrook A. Reducing hospital readmissions: lessons from top-performing hospitals Washington, DC: Commonwealth Fund; 2011.
4. Puhan MA, Scharplatz M, Troosters T, Steurer J. Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality: a systematic review. Respir Res 2005;6:54.
5. Bachmann S, Finger C, Huss A, Egger M, Stuck AE, Clough-Gorr KM. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ 2010;340:c1718.
6. Robison J, Wiles R, Ellis-Hill C, McPherson K, Hyndman D, Ashburn A. Resuming previously valued activities post-stroke: who or what helps? Disabil Rehabil 2009;31:1555–1566.
7. Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2012;(9):CD007146.
8. World Health Organization. Rehabilitation of health system [Internet] Geneva: World Health Organization; 2017. cited 2017 Oct 30. Available from: http://apps.who.int/iris/bitstream/10665/254506/1/9789241549974-eng.pdf.
9. Schlegel D, Kolb SJ, Luciano JM, Tovar JM, Cucchiara BL, Liebeskind DS, Kasner SE. Utility of the NIH Stroke Scale as a predictor of hospital disposition. Stroke 2003;34:134–137.
10. Kang JH, Bae HJ, Choi YA, Lee SH, Shin HI. Length of hospital stay after stroke: a Korean nationwide study. Ann Rehabil Med 2016;40:675–681.
11. Management of Stroke Rehabilitation Working Group. VA/DOD clinical practice guideline for the management of stroke rehabilitation. J Rehabil Res Dev 2010;47:1–43.
12. Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev 2013;(9):CD000197.
13. Chan DK, Cordato D, O'Rourke F, Chan DL, Pollack M, Middleton S, Levi C. Comprehensive stroke units: a review of comparative evidence and experience. Int J Stroke 2013;8:260–264.
14. Chan DK, Levi C, Cordato D, O'Rourke F, Chen J, Redmond H, Xu YH, Middleton S, Pollack M, Hankey GJ. Health service management study for stroke: a randomized controlled trial to evaluate two models of stroke care. Int J Stroke 2014;9:400–405.
15. Dobkin BH. The clinical science of neurologic rehabilitation 2nd edth ed. Oxford: Oxford University Press; 2003.
16. Stroke Unit Trialists' Collaboration. Langhorne P, Pollock A. What are the components of effective stroke unit care? Age Ageing 2002;31:365–371.
17. Policy Making Committee, the Korean Stroke Society. Lee KB, Park HK, Park TH, Lee SJ, Bae HJ, Lee KS, Rha JH, Heo JH, Lee BC, Chung CS. Current status and problems of stroke units in Korea: results of a nationwide acute care hospital survey by the Korean Stroke Society. J Korean Neurol Assoc 2015;33:141–155.
18. Training Committee. Environment and condition of graduate medical education (residents) in the department of rehabilitation medicine of Korea Seoul: Korean Academy of Rehabilitation Medicine; 2017.

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