American archives of rehabilitation therapy最新文献

The economics of deregulation. 放松管制的经济学。

American archives of rehabilitation therapy Pub Date : 1987-01-01

K Shullick, S Hochhauser

引用次数: 0

When the going gets tough: critical issues in rehabilitation: organizational approaches in a competitive environment. 当事情变得艰难时:康复中的关键问题:竞争环境中的组织方法。

American archives of rehabilitation therapy Pub Date : 1987-01-01

L Hunn

引用次数: 0

The new look in rehabilitation. 康复的新面貌。

American archives of rehabilitation therapy Pub Date : 1987-01-01

D E Eazell

{"title":"The new look in rehabilitation.","authors":"D E Eazell","doi":"","DOIUrl":"","url":null,"abstract":"In the 1990s, operational strategies to assure survival will be crucial for all healthcare providers. All will face an accelerating rate of change, and the paramount change will be an intensified competitive marketplace. How does this impact rehabilitation? Like acute care hospitals, rehabilitation facilities will diversify into alternative delivery systems. This paper examines the course one provider--Casa Colina, Inc.--has taken, the pitfalls and problems along the way, and the implications for other rehabilitation providers. Strategies used to strengthen various areas of rehabilitation are considered, including ambulatory care, skilled nursing, traumatic brain injury, medical and vocational rehabilitation, residential programs, joint ventures, rehabilitation hospitals and outpatient services. A strong consensus exists today among healthcare experts concerning where we are headed and operational strategies for survival in 1990. How does this consensus impact rehabilitation? Before dealing with rehabilitation, let us review essential agreements. For HOSPITALS, the experts agree that: multi-hospital systems will continue to grow and will be best positioned to implement and take advantage of the strategies of choice in the new competitive market; money spent nationally on healthcare services will continue to grow; new types of providers will erode acute care inpatient hospitals' share of healthcare expenditures; emphasis in healthcare will shift to ambulatory services and delivery systems; and hospitals may be at a disadvantage in attracting capital financing and many will have to create new corporate structures and business ventures to compete in the capital market.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":75472,"journal":{"name":"American archives of rehabilitation therapy","volume":"35 1","pages":"6-15"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21153031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The longitudinal development of a rehabilitation agency: an integrated rehabilitation service delivery model. 康复机构的纵向发展:综合康复服务提供模式。

American archives of rehabilitation therapy Pub Date : 1987-01-01

D L Cross, M J Cross, L Stevenson, M M Feltner, P Comerford, M Kody, M Barney

{"title":"The longitudinal development of a rehabilitation agency: an integrated rehabilitation service delivery model.","authors":"D L Cross, M J Cross, L Stevenson, M M Feltner, P Comerford, M Kody, M Barney","doi":"","DOIUrl":"","url":null,"abstract":"Health care services in the late 1980's are undergoing drastic changes. Similarly the laws, insurance regulations, etc. are changing so rapidly that the health care system appears to be having a difficult time keeping up with the ever changing needs of the consumers (that is, the patients). Diagnosis Related Groups (DRGs) have resulted in decreased hospital stays for patients with subacute and chronic conditions, and therefore patients are being care for in outpatient rehabilitation agencies, and/or outpatient clinics associated with hospitals. In short, a patient cannot stay in the hospital unless he or she is acutely ill or in need of surgery. Outpatient care is gradually becoming more important since patients who would have still been in the hospital several years ago, are now released to go home, with an order to receive outpatient therapy at the local rehabilitation agency. Currently there is no model available for starting an outpatient rehabilitation agency, and as a result health care professionals interested in starting such a facility have no guidelines or methodology for establishing a private rehabilitation practice.","PeriodicalId":75472,"journal":{"name":"American archives of rehabilitation therapy","volume":"35 3","pages":"3-20"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21170107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Social and recreation rehabilitation in community programs. 社区项目中的社会和娱乐康复。

American archives of rehabilitation therapy Pub Date : 1987-01-01

S L House

引用次数: 0

What's new in accreditation? 认证方面有什么新进展?

American archives of rehabilitation therapy Pub Date : 1987-01-01

G R Nisius

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The history of rehabilitation. 康复的历史。

American archives of rehabilitation therapy Pub Date : 1986-01-01

W Cavalier

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Linking trauma and rehabilitation services. 将创伤和康复服务联系起来。

American archives of rehabilitation therapy Pub Date : 1986-01-01

R E Salsameda, E McBride

引用次数: 0

The insurance industry and the coverage of rehabilitation services. 保险业和康复服务的覆盖面。

American archives of rehabilitation therapy Pub Date : 1986-01-01

R A Breed

{"title":"The insurance industry and the coverage of rehabilitation services.","authors":"R A Breed","doi":"","DOIUrl":"","url":null,"abstract":"Rehabilitation facilities are inescapably involved in the ongoing national debate over the financing and delivery of health care services. The relatively small portion of the debate involving our facilities does not involve questioning the need for rehabilitative medicine in serious trauma or illness, rather, the discussion revolves around how the services can best be delivered and the cost containment of the inherent costs. The recent interest evidenced by the government in DRG and related prospective payment plans is credited by some with effectively slowing the increase in health care costs. We believe that a careful look beyond just the numbers could demonstrate that cost \"savings\" are simply cost shifting to private payers. We believe that if DRG plans are strictly applied to rehabilitation facilities the results could be detrimental to both the facilities and their patients. Potential new markets are being explored such as the role our facilities can play in the area of treatment of catastrophic injury resulting from third party negligence. Liability litigation involving bodily injury is an area of enormous concern for the nation and its liability insurers, as is evidenced by the increased media attention given to the \"liability insurance crisis\" recently. The obvious long term cost containment effects of treatment in rehabilitation facilities is attracting the attention of the liability insurers as a potential vehicle by which liability exposures can be mitigated. The emergence of profit driven health care corporations and the enormous competition accompanying it is one of the most significant developments to be considered.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":75472,"journal":{"name":"American archives of rehabilitation therapy","volume":"34 3","pages":"13-9"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21183171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Where will rehabilitation be provided in the future? 将来会在哪里提供复康服务?

American archives of rehabilitation therapy Pub Date : 1986-01-01

J Strum

引用次数: 0