A bean counter view of stroke rehab. You have to make sure these people have no say in the makeup of stroke protocols. The goal is 100% recovery, not saving money. If you truly want to save money, you would convene death panels and say every stroke patient that survived should be sent home for at home therapy like this proof. Physio for the home
or this:
Evaluation of the Effectiveness of Inpatient Rehabilitation for Mild Stroke Patients
http://onlinelibrary.wiley.com/doi/10.1111/ijs.12041/abstract?
Many stroke rehabilitation services and interventions are complex in
that they involve a number of components, interactions, and outcomes.
Much of the onus of stroke care lies with rehabilitation services and
because stroke rehabilitation is highly resource intensive, it is
important for policy makers to consider the potential trade-offs between
all relevant costs and benefits. The primary aim of this systematic
review was to assess the methods used to conduct economic evaluations of
stroke rehabilitation. Studies that compared two or more alternative
stroke rehabilitation interventions or services with the costs and
outcomes being examined for each alternative were included. EMBASE,
MEDLINE In-Process, and National Health Service's Economic Evaluation
Database were searched using search strategies. The methodological
quality of the included studies was appraised using a checklist for the
conduct and reporting of economic evaluations. Twenty-one studies met
the selection criteria. The economic evaluations in the majority of
these studies were inadequate based on their ability to identify,
measure, and value all resources and benefits pertinent to the
complexity of stroke rehabilitation. This study highlights that complex
interventions such as stroke rehabilitation have widespread effects,
which may not be represented by the changes on a single outcome. This
study recommends the adoption of a wider cost and benefit perspective in
the economic evaluations of complex interventions. It supports a move
away from conventional economic evaluation and decision making, based
purely on cost-effectiveness, toward multicriteria decision analysis
frameworks for complex interventions, where a broader range of criteria
may be assessed by policy makers.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 28,983 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
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