The Korean Journal of Health Service Management (보건의료산업학회지)
- Volume 5 Issue 3
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- Pages.53-61
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- 2011
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- 2093-5986(pISSN)
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- 2288-0666(eISSN)
DOI QR Code
Stroke Rehabilitation Performance and Outcomes among Hospitals
뇌졸중 재활치료에 있어서 병원군집간 의료서비스 제공실태와 치료성과 -일본 뇌졸중 환자 데이터베이스를 이용하여-
- Inoue, Yusuke (Dep. Social Well-Being and Development Nihon Fukushi University) ;
- Jeong, Seung-Won (Center for Well-being and Society Nihon Fukushi University) ;
- Kondo, Katsunori (Center for Well-being and Society Nihon Fukushi University) ;
- Seo, Young-Joon (Dep. of Health Administration, Yonsei University)
- 이노우에 유스케 (일본복지대학 대학원 복지사회개발 연구과) ;
- 정승원 (일본복지대학 건강사회연구센터) ;
- 콘도 카츠노리 (일본복지대학 건강사회연구센터) ;
- 서영준 (연세대학교 보건행정학과)
- Received : 2011.08.20
- Accepted : 2011.09.10
- Published : 2011.09.30
Abstract
This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.