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

Publication ,  Journal Article
Magdon-Ismail, Z; Sicklick, A; Hedeman, R; Bettger, JP; Stein, J
Published in: Medicine (Baltimore)
April 2016

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.

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Published In

Medicine (Baltimore)

DOI

EISSN

1536-5964

Publication Date

April 2016

Volume

95

Issue

16

Start / End Page

e3206

Location

United States

Related Subject Headings

  • Survival Rate
  • Surveys and Questionnaires
  • Stroke Rehabilitation
  • Stroke
  • Rehabilitation Centers
  • Pilot Projects
  • Patient Discharge
  • New York
  • New Jersey
  • New England
 

Citation

APA
Chicago
ICMJE
MLA
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Magdon-Ismail, Z., Sicklick, A., Hedeman, R., Bettger, J. P., & Stein, J. (2016). Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region. Medicine (Baltimore), 95(16), e3206. https://doi.org/10.1097/MD.0000000000003206
Magdon-Ismail, Zainab, Alyse Sicklick, Robin Hedeman, Janet Prvu Bettger, and Joel Stein. “Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region.Medicine (Baltimore) 95, no. 16 (April 2016): e3206. https://doi.org/10.1097/MD.0000000000003206.
Magdon-Ismail Z, Sicklick A, Hedeman R, Bettger JP, Stein J. Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region. Medicine (Baltimore). 2016 Apr;95(16):e3206.
Magdon-Ismail, Zainab, et al. “Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region.Medicine (Baltimore), vol. 95, no. 16, Apr. 2016, p. e3206. Pubmed, doi:10.1097/MD.0000000000003206.
Magdon-Ismail Z, Sicklick A, Hedeman R, Bettger JP, Stein J. Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region. Medicine (Baltimore). 2016 Apr;95(16):e3206.

Published In

Medicine (Baltimore)

DOI

EISSN

1536-5964

Publication Date

April 2016

Volume

95

Issue

16

Start / End Page

e3206

Location

United States

Related Subject Headings

  • Survival Rate
  • Surveys and Questionnaires
  • Stroke Rehabilitation
  • Stroke
  • Rehabilitation Centers
  • Pilot Projects
  • Patient Discharge
  • New York
  • New Jersey
  • New England