| Stroke rehabilitation in Switzerland versus the United States: a preliminary comparison. | |
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MedLine Citation:
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PMID: 15883358 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article compares the structure and process of rehabilitation for stroke patients at 2 internationally recognized rehabilitation hospitals, Klinik Valens ("Valens") in Switzerland and the William Donald Schaeffer Rehabilitation Hospital at Kernan ("Kernan") in the United States. Although the patient mix, structure, and process of rehabilitation were similar in many regards, there were some important differences. Most notably, on average, patients at the U.S. hospital were discharged from rehabilitation at approximately the same day poststroke that rehabilitation began in Switzerland. Patients remained in an inpatient setting an average of 40 days longer in Switzerland (for the combination of acute care and rehabilitation) and had significantly higher levels of functioning at discharge when compared to their U.S. counterparts. The authors' findings suggest that Europe may offer opportunities for rehabilitation research that would be difficult to duplicate in the United States and highlight policy-relevant questions for future studies aimed at developing efficient managed care systems for stroke survivors. |
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Authors:
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Mary Stuart; Christina Ryser; Alan Levitt; Serafin Beer; Jurg Kesselring; Sarah Chard; Michael Weinrich |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Neurorehabilitation and neural repair Volume: 19 ISSN: 1545-9683 ISO Abbreviation: Neurorehabil Neural Repair Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-05-10 Completed Date: 2005-07-25 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100892086 Medline TA: Neurorehabil Neural Repair Country: United States |
Other Details:
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Languages: eng Pagination: 139-47 Citation Subset: IM |
Affiliation:
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Department of Sociology and Anthropology, University of Maryland, Baltimore County, USA. stuart@umbc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Acute Disease Cross-Cultural Comparison Female Humans Length of Stay Male Managed Care Programs Middle Aged Outcome and Process Assessment (Health Care)* Patient Discharge Quality of Health Care Rehabilitation / methods*, organization & administration*, standards Stroke / rehabilitation* Switzerland United States |
| Comments/Corrections | |
Comment In:
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Neurorehabil Neural Repair. 2006 Sep;20(3):435; author reply 435
[PMID:
16885430
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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