Medical and Rehabilitation Service Use After Inpatient Rehabilitation
Categories: Recovery - Long Term
What medical and rehabilitation services do individuals with brain injury use during the first three months after being discharged from inpatient rehabilitation?
Past Studies show that it is common for individuals with traumatic brain injury to require medical and therapy services after completing their inpatient rehabilitation programs. Researchers have found that continuing rehabilitation after the inpatient stay can be helpful for some individuals. Service settings for
This study tracked the services used by 73 individuals for the first three months after they left the inpatient rehabilitation setting. The individuals had sustained mild, moderate, or severe traumatic brain injuries. The researchers surveyed the individuals or their participating family members at one and three months after their discharge dates from inpatient rehabilitation.
The researchers found that at least 80% of the participants saw a doctor during the three-month study period. Forty-two percent had four or more doctor visits. The researchers found that more than half of the participants participated in full-day or half-day hospital day rehabilitation programs. The participants were more likely to participate in rehabilitation in outpatient settings than with in-home therapies. Individuals with mild brain injuries spent fewer days in in-hospital day rehabilitation programs but were just as likely to use services as those with moderate or severe brain injuries. Individuals with severe brain injuries were more likely to receive outpatient physical therapy. Those with moderate brain injuries used the most outpatient occupational therapy and
Who May Be Affected By These Findings
Individuals with traumatic brain injuries, healthcare providers, funders, and researchers
Contrary to past studies, the severity of the initial traumatic brain injury was not associated with the likelihood of service use after inpatient rehabilitation. Individuals with mild, moderate, and severe brain injuries were just as likely to use outpatient services.
At least 80% of the participants saw a doctor during the three-month study period and more than half of the participants participated in full-day or half-day hospital rehabilitation programs. Individuals with mild brain injuries spent fewer days in day rehabilitation programs but were just as likely to use services as those with moderate or severe brain injuries.
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Find This Study
Phillips, V.L., Greenspan, A.I., Stringer, A.Y., Stroble, A.K., & Lebtonen, S. (2004).