Article

Postacute care costs have doubled over the past decade and now account for 17% of
Medicare fee-for-service spending. Costs are forecast to continue to rise,
paradoxically in large part in response to federal policies and efforts to
control health care costs. This commentary introduces a potential solution to
this situation and is divided into 4 parts. The first provides a brief review of
the policies fostering this growth. The second assesses how the responses of
health care providers, while inherently rational, are destructive to the system.
The third identifies hospital-acquired disability as a modifiable driver in this
scenario, and the fourth discusses how an improvement in detection and a
redistribution of hospital-based rehabilitation services may be able to reverse
this unsustainable growth.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS