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Physiatrist referral preferences for postacute stroke rehabilitation

This study was intended to determine if there is variation among physiatrists in referral preferences for postacute rehabilitation for stroke patients based on physician demographic characteristics or geography. A cross-sectional survey study was developed with 5 fictional case vignettes that includ...

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Detalles Bibliográficos
Autores principales: Cormier, David J., Frantz, Megan A., Rand, Ethan, Stein, Joel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5370790/
https://www.ncbi.nlm.nih.gov/pubmed/27537563
http://dx.doi.org/10.1097/MD.0000000000004356
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author Cormier, David J.
Frantz, Megan A.
Rand, Ethan
Stein, Joel
author_facet Cormier, David J.
Frantz, Megan A.
Rand, Ethan
Stein, Joel
author_sort Cormier, David J.
collection PubMed
description This study was intended to determine if there is variation among physiatrists in referral preferences for postacute rehabilitation for stroke patients based on physician demographic characteristics or geography. A cross-sectional survey study was developed with 5 fictional case vignettes that included information about medical, social, and functional domains. Eighty-six physiatrist residents, fellows, and attendings were asked to select the most appropriate postacute rehabilitation setting and also to rank, by importance, 15 factors influencing the referral decision. Chi-square bivariate analysis was used to analyze the data. Eighty-six surveys were collected over a 3-day period. Bivariate analysis (using chi-square) showed no statistically significant relationship between any of the demographic variables and poststroke rehabilitation preference for any of the cases. The prognosis for functional outcome and quality of postacute facility had the highest mean influence ratings (8.63 and 8.31, respectively), whereas location of postacute facility and insurance had the lowest mean influence ratings (5.74 and 5.76, respectively). Physiatrists’ referral preferences did not vary with any identified practitioner variables or geographic region; referral preferences only varied significantly by case.
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spelling pubmed-53707902017-03-31 Physiatrist referral preferences for postacute stroke rehabilitation Cormier, David J. Frantz, Megan A. Rand, Ethan Stein, Joel Medicine (Baltimore) 6300 This study was intended to determine if there is variation among physiatrists in referral preferences for postacute rehabilitation for stroke patients based on physician demographic characteristics or geography. A cross-sectional survey study was developed with 5 fictional case vignettes that included information about medical, social, and functional domains. Eighty-six physiatrist residents, fellows, and attendings were asked to select the most appropriate postacute rehabilitation setting and also to rank, by importance, 15 factors influencing the referral decision. Chi-square bivariate analysis was used to analyze the data. Eighty-six surveys were collected over a 3-day period. Bivariate analysis (using chi-square) showed no statistically significant relationship between any of the demographic variables and poststroke rehabilitation preference for any of the cases. The prognosis for functional outcome and quality of postacute facility had the highest mean influence ratings (8.63 and 8.31, respectively), whereas location of postacute facility and insurance had the lowest mean influence ratings (5.74 and 5.76, respectively). Physiatrists’ referral preferences did not vary with any identified practitioner variables or geographic region; referral preferences only varied significantly by case. Wolters Kluwer Health 2016-08-19 /pmc/articles/PMC5370790/ /pubmed/27537563 http://dx.doi.org/10.1097/MD.0000000000004356 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6300
Cormier, David J.
Frantz, Megan A.
Rand, Ethan
Stein, Joel
Physiatrist referral preferences for postacute stroke rehabilitation
title Physiatrist referral preferences for postacute stroke rehabilitation
title_full Physiatrist referral preferences for postacute stroke rehabilitation
title_fullStr Physiatrist referral preferences for postacute stroke rehabilitation
title_full_unstemmed Physiatrist referral preferences for postacute stroke rehabilitation
title_short Physiatrist referral preferences for postacute stroke rehabilitation
title_sort physiatrist referral preferences for postacute stroke rehabilitation
topic 6300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5370790/
https://www.ncbi.nlm.nih.gov/pubmed/27537563
http://dx.doi.org/10.1097/MD.0000000000004356
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