Disparities in outpatient and home health service utilization following stroke: results of a 9-year cohort study in Northern California

PM & R : the Journal of Injury, Function, and Rehabilitation
Leighton ChanM Elizabeth Sandel

Abstract

To examine whether there are disparities in utilization of outpatient and home care services after stroke. Retrospective cohort study. The Kaiser Permanente of Northern California health care system, which provides health care for approximately 3.3 million members. A total of 11,119 patients hospitalized for a stroke between 1996 and 2003 and followed for 1 year. Receipt of outpatient rehabilitation (physical therapy, occupational therapy, speech pathology, or physical medicine and rehabilitation/physiatry visits), and/or home health care. There were significant differences in outpatient rehabilitation visits and home health enrollment during the year after acute care discharge for all the parameters under study. Older age and female gender were associated with less outpatient rehabilitation treatment, but these subpopulations were more likely to be enrolled in home health care. Non-whites, patients from urban areas, those with ischemic strokes, and those with longer acute care hospital stays had relatively more outpatient rehabilitation and were also more likely to be enrolled in the home health program. In addition, patients living in geographic areas with a median household income of $80,000 or more had significantly more ou...Continue Reading

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Citations

Apr 2, 2014·Archives of Physical Medicine and Rehabilitation·Jibby E KurichiMargaret G Stineman
Dec 22, 2010·Disability and Rehabilitation·Shamyr S CastroChester L G Cesar
Aug 30, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Hua WangSteven Sidney
Nov 20, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·M Elizabeth SandelLeighton Chan
May 11, 2015·Archives of Physical Medicine and Rehabilitation·Kenneth M Jaffe, Nathalia Jimenez
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Mar 31, 2021·American Journal of Physical Medicine & Rehabilitation·Huan-Jui YehNicole Huang

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