State-of-the-Science Symposium on Postacute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy—Executive Summary Purpose The Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness along with academic, professional, provider, and accreditor organizations sponsored a symposium with the aim of serving as a catalyst for expanded research on postacute care (PAC) rehabilitation. The goals were to describe the state of our knowledge ... Special Report
Special Report  |   November 01, 2007
State-of-the-Science Symposium on Postacute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy—Executive Summary
 
Author Affiliations & Notes
  • Allen W. Heinemann
    Northwestern University, Chicago, and Rehabilitation Institute of Chicago
  • Editor’s Note
    Editor’s Note×
    This article did not go through the normal peer review process for AJSLP.
    This article did not go through the normal peer review process for AJSLP.×
  • Contact author: Allen W. Heinemann, Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, 345 E Superior Street, Chicago, IL 60611-2654. E-mail: a-heinemann@northwestern.edu.
Article Information
Research Issues, Methods & Evidence-Based Practice / Regulatory, Legislative & Advocacy / Special Report
Special Report   |   November 01, 2007
State-of-the-Science Symposium on Postacute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy—Executive Summary
American Journal of Speech-Language Pathology, November 2007, Vol. 16, 290-294. doi:10.1044/1058-0360(2007/034)
 
American Journal of Speech-Language Pathology, November 2007, Vol. 16, 290-294. doi:10.1044/1058-0360(2007/034)

Purpose The Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness along with academic, professional, provider, and accreditor organizations sponsored a symposium with the aim of serving as a catalyst for expanded research on postacute care (PAC) rehabilitation. The goals were to describe the state of our knowledge regarding utilization, organization, and outcomes of postacute rehabilitation settings, identify methodological and measurement challenges, foster the exchange of ideas among stakeholders, and identify researchable questions.

Method The symposium was organized around 4 themes: (a) the need for improved measurement of rehabilitation variables and methods to collect and analyze this information, (b) factors that influence access to rehabilitation care, (c) similarities and differences in services across PAC settings, and (d) effectiveness of rehabilitation services.

Results Key themes included the need for improved measures, particularly of case-mix factors and treatment ingredients; the need for a uniform and coherent system of PAC; the need to attend to under- and overutilization of rehabilitation services; the need for cooperation among stakeholders to advance an effectiveness research agenda; and the desire to develop payment policies that are based on research evidence.

Conclusions The symposium articles appear in the November 2007 issue of Archives of Physical Medicine and Rehabilitation.

Acknowledgments
Supported by the NIDRR through Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness Grant H133B040032. The editorial assistance of Marcel Dijkers and Anne Deutsch is deeply appreciated. Additional comments were provided by John Whyte, Patrick Murray, John Melvin, Dexanne Clohan, and Mark Boles. Symposium planning committee members were Allen Heinemann, PhD, and Anne Deutsch, PhD (Rehabilitation Research and Training Center [RRTC] on Measuring Rehabilitation Outcomes and Effectiveness); Leighton Chan, MD, and Michael Munin, MD (American Academy of Physical Medicine and Rehabilitation); Marcel P. Dijkers, PhD, and Patrick Murray, MD, MS (American Congress of Rehabilitation Medicine); Rochelle Archuleta (American Hospital Association); Mark Boles, MHA, CHE, and Carolyn Zollar, JD (American Medical Rehabilitation Providers Association); John Whyte, MD, PhD, and Greg Worsowicz, MD, MBA (Association of Academic Physiatrists); and Bruce Gans, MD, and John Melvin, MD (Foundation for Physical Medicine and Rehabilitation). Staff support was provided by Kendall Stagg and Holly Demark (RRTC), and Amy Cheatham, Ange Tapscott, L. Owen Taggart, and David Stover, MS (Futures in Rehabilitation Management). No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit upon the author or upon any organization with which the author is associated.
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