Journal List > J Korean Med Assoc > v.60(11) > 1043243

Yoo, Jeong, and Kim: Medical rehabilitation system for patients in acute rehabilitation units

Abstract

Acute-phase rehabilitation hospitals focus on managing disabilities, reducing sequelae and symptoms, and enhancing social reintegration, to provide patients with the highest possible independence and the best quality of life. In order to achieve these goals, it is necessary to ensure the appropriate length of hospital stays based on a consideration of disease severity and patients' potential for rehabilitation, as well as to provide multidisciplinary rehabilitation. Multidisciplinary rehabilitation has been shown to be effective in the management of complex or severe conditions. Hospitals should include rehabilitation centers (specialized rehabilitation units) for patients with complex or severe needs. Starting in acute settings, specialized rehabilitation wards provide intensive, highly specialized interventions to restore function to patients with complex rehabilitation needs. Financial resources should be allocated to rehabilitation services to implement recommendations for the delivery of medical services In Korea, the appropriate allocation of resources for rehabilitation could increase both the availability and the quality of rehabilitation services by facilitating the establishment of specialized rehabilitation units in acute settings.

References

1. World Health Organization. World health statistics 2016: monitoring health for the SDGs. Geneva: World Health Organization;2016.
2. World Health Organization. World report on disability [Internet]. Geneva: World Health Organization;2011. cited 2017 Oct 30. Available from: http://www.who.int/disabilities/world_report/2011/en/.
3. Silow-Carroll S, Edwards JN, Lashbrook A. Reducing hospital readmissions: lessons from top-performing hospitals. Washington, DC: Commonwealth Fund;2011.
4. Puhan MA, Scharplatz M, Troosters T, Steurer J. Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality: a systematic review. Respir Res. 2005; 6:54.
5. Bachmann S, Finger C, Huss A, Egger M, Stuck AE, Clough-Gorr KM. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ. 2010; 340:c1718.
crossref
6. Robison J, Wiles R, Ellis-Hill C, McPherson K, Hyndman D, Ashburn A. Resuming previously valued activities post-stroke: who or what helps? Disabil Rehabil. 2009; 31:1555–1566.
crossref
7. Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012; (9):CD007146.
crossref
8. World Health Organization. Rehabilitation of health system [Internet]. Geneva: World Health Organization;2017. cited 2017 Oct 30. Available from: http://apps.who.int/iris/bitstream/10665/254506/1/9789241549974-eng.pdf.
9. Schlegel D, Kolb SJ, Luciano JM, Tovar JM, Cucchiara BL, Liebeskind DS, Kasner SE. Utility of the NIH Stroke Scale as a predictor of hospital disposition. Stroke. 2003; 34:134–137.
crossref
10. Kang JH, Bae HJ, Choi YA, Lee SH, Shin HI. Length of hospital stay after stroke: a Korean nationwide study. Ann Rehabil Med. 2016; 40:675–681.
crossref
11. Management of Stroke Rehabilitation Working Group. VA/DOD clinical practice guideline for the management of stroke rehabilitation. J Rehabil Res Dev. 2010; 47:1–43.
12. Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev. 2013; (9):CD000197.
13. Chan DK, Cordato D, O'Rourke F, Chan DL, Pollack M, Middleton S, Levi C. Comprehensive stroke units: a review of comparative evidence and experience. Int J Stroke. 2013; 8:260–264.
crossref
14. Chan DK, Levi C, Cordato D, O'Rourke F, Chen J, Redmond H, Xu YH, Middleton S, Pollack M, Hankey GJ. Health service management study for stroke: a randomized controlled trial to evaluate two models of stroke care. Int J Stroke. 2014; 9:400–405.
crossref
15. Dobkin BH. The clinical science of neurologic rehabilitation. 2nd ed. Oxford: Oxford University Press;2003.
16. Stroke Unit Trialists' Collaboration. Langhorne P, Pollock A. What are the components of effective stroke unit care? Age Ageing. 2002; 31:365–371.
crossref
17. Policy Making Committee, the Korean Stroke Society. Lee KB, Park HK, Park TH, Lee SJ, Bae HJ, Lee KS, Rha JH, Heo JH, Lee BC, Chung CS. Current status and problems of stroke units in Korea: results of a nationwide acute care hospital survey by the Korean Stroke Society. J Korean Neurol Assoc. 2015; 33:141–155.
crossref
18. Training Committee. Environment and condition of graduate medical education (residents) in the department of rehabilitation medicine of Korea. Seoul: Korean Academy of Rehabilitation Medicine;2017.
TOOLS
ORCID iDs

Seung Don Yoo
https://orcid.org/0000-0003-4513-2560

Yong Seol Jeong
https://orcid.org/0000-0001-5322-5519

Tae-Woo Kim
https://orcid.org/0000-0003-4017-549X

Similar articles