Inpatient Rehabilitation after Stroke: A Comparison of Lengths of Stay and Outcomes in the Veterans Affairs and Non-Veterans Affairs Health Care System

Background. Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. Objective. The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after co...

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Bibliographic Details
Published in:Medical care 2001-02, Vol.39 (2), p.123-137
Main Authors: Stineman, Margaret G., Ross, Richard N., Hamilton, Byron B., Maislin, Greg, Bates, Barbara, Granger, Carl V., Asch, David A.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Cost Control
Diagnosis-Related Groups - classification
Disabilities
Female
Geriatric Assessment
Health care delivery
Health outcomes
Health Services Research
Home Care Services - standards
Home Care Services - statistics & numerical data
Hospital admissions
Hospitals, Veterans - standards
Hospitals, Veterans - statistics & numerical data
Humans
Length of Stay - statistics & numerical data
Linear Models
Logistic Models
Male
Middle Aged
Multivariate Analysis
Outcome Assessment (Health Care)
Patient care
Program Evaluation
Rehabilitation facilities
Social Support
Statistical variance
Stroke Rehabilitation
Strokes
Therapeutic communities
United States
United States Department of Veterans Affairs
Utilization Review
Veterans
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Summary:Background. Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. Objective. The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after controlling for patient and medical care delivery differences. Design. This analysis involved 60 VA inpatient rehabilitation units and 467 non-VA rehabilitation hospitals and units. Multivariate adjusted resource use and patient outcome differences were compared across setting within patients grouped by severity of disability at admission through assignment to the Function Related Group (FRG) patient classification system. Subjects. The study included 55,438 stroke patients. Measures. Study measures were LOS, functional status at discharge, and community discharge. Results. The VA serves a higher proportion of patients who are single, separated, or divorced; are unemployed or retired as a result of disability, and are not white (P
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-200102000-00003