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In-patient rehabilitation: clinical outcomes and cost implications
Aims and method A retrospective evaluation was undertaken of the clinical and economic effectiveness of three in-patient rehabilitation units across one London National Health Service trust. Information on admission days and costs 2 years before and 2 years after the rehabilitation placement, length...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of Psychiatrists
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768843/ https://www.ncbi.nlm.nih.gov/pubmed/26958355 http://dx.doi.org/10.1192/pb.bp.114.049858 |
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author | Bunyan, Mel Ganeshalingam, Yogesh Morgan, Ehab Thompson-Boy, Donvé Wigton, Rebekah Holloway, Frank Tracy, Derek K. |
author_facet | Bunyan, Mel Ganeshalingam, Yogesh Morgan, Ehab Thompson-Boy, Donvé Wigton, Rebekah Holloway, Frank Tracy, Derek K. |
author_sort | Bunyan, Mel |
collection | PubMed |
description | Aims and method A retrospective evaluation was undertaken of the clinical and economic effectiveness of three in-patient rehabilitation units across one London National Health Service trust. Information on admission days and costs 2 years before and 2 years after the rehabilitation placement, length of rehabilitation placement and the discharge pathway was collected on 22 service users. Results There were statistically significant reductions in hospital admission days in the 2 years following rehabilitation compared with the 2 years before, further reflected in significantly lower bed costs. Longer length of rehabilitation placement was correlated with fewer admission days after the placement. A substantial proportion of the sample went into more independent living, some with no further admissions at follow-up. Clinical implications The findings suggest that in-patient rehabilitation is both clinically and cost effective: if benefits are sustained they will offset the cost of the rehabilitation placement. |
format | Online Article Text |
id | pubmed-4768843 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Royal College of Psychiatrists |
record_format | MEDLINE/PubMed |
spelling | pubmed-47688432016-03-08 In-patient rehabilitation: clinical outcomes and cost implications Bunyan, Mel Ganeshalingam, Yogesh Morgan, Ehab Thompson-Boy, Donvé Wigton, Rebekah Holloway, Frank Tracy, Derek K. BJPsych Bull Original Papers Aims and method A retrospective evaluation was undertaken of the clinical and economic effectiveness of three in-patient rehabilitation units across one London National Health Service trust. Information on admission days and costs 2 years before and 2 years after the rehabilitation placement, length of rehabilitation placement and the discharge pathway was collected on 22 service users. Results There were statistically significant reductions in hospital admission days in the 2 years following rehabilitation compared with the 2 years before, further reflected in significantly lower bed costs. Longer length of rehabilitation placement was correlated with fewer admission days after the placement. A substantial proportion of the sample went into more independent living, some with no further admissions at follow-up. Clinical implications The findings suggest that in-patient rehabilitation is both clinically and cost effective: if benefits are sustained they will offset the cost of the rehabilitation placement. Royal College of Psychiatrists 2016-02 /pmc/articles/PMC4768843/ /pubmed/26958355 http://dx.doi.org/10.1192/pb.bp.114.049858 Text en © 2016 The Authors http://creativecommons.org/licenses/by/4.0 This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Papers Bunyan, Mel Ganeshalingam, Yogesh Morgan, Ehab Thompson-Boy, Donvé Wigton, Rebekah Holloway, Frank Tracy, Derek K. In-patient rehabilitation: clinical outcomes and cost implications |
title | In-patient rehabilitation: clinical outcomes and cost implications |
title_full | In-patient rehabilitation: clinical outcomes and cost implications |
title_fullStr | In-patient rehabilitation: clinical outcomes and cost implications |
title_full_unstemmed | In-patient rehabilitation: clinical outcomes and cost implications |
title_short | In-patient rehabilitation: clinical outcomes and cost implications |
title_sort | in-patient rehabilitation: clinical outcomes and cost implications |
topic | Original Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768843/ https://www.ncbi.nlm.nih.gov/pubmed/26958355 http://dx.doi.org/10.1192/pb.bp.114.049858 |
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