PURPOSE This study examines the impact of the post-acute prospective payment system (PPS) on Medicare-funded rehabilitation services in skilled nursing facilities (SNFs) and whether such impact varies under different payment mechanisms. DESIGN AND METHODS We interviewed 214 Medicare beneficiaries admitted to three SNFs in southern California for rehabilitation. We compared patients' admission...

PURPOSE To highlight potentially conflicting roles of the rehabilitation professional in the treatment of clients with persistent pain conditions. In assisting clients requiring rehabilitation, the role of the rehabilitation professional is usually fairly clear and unambiguous. If however questions about the authenticity of the client's presenting disability have been raised, then a major role ...

Background: Physiotherapy and occupational therapy services can play a critical role in maintaining or improving the physical functioning, quality of life, and overall independence of older home care clients. Despite their importance, however, there is limited understanding of the factors that influence how rehabilitation services are allocated to older home care clients. The aim of this pilot ...

OBJECTIVES To compare the effectiveness and costs of a new domiciliary rehabilitation service for elderly stroke patients with geriatric day-hospital care. DESIGN Randomized controlled trial. PARTICIPANTS Stroke patients aged 55+ who required further rehabilitation after hospital discharge or after referral to geriatricians from the community. SETTING Poole area, East Dorset, a mixed urba...

BACKGROUND There are references regarding physical activity and cardiovascular disease since the nineteenth century. New evidences support that cardiac rehabilitation is closely related to therapeutic success after major coronary events. Although the benefits of cardiac rehabilitation programs are well established, referencing and enrolment in such services remain low. AIM The aim of this pap...

Objectives: Dependence on Amphetamine-Type Stimulants (ATS) is a current health concern in Iran. The present study aimed to investigate the most needed treatment and rehabilitation services that a group of ATS-dependent patients in Tehran reported. Methods: The current study is part of the first cross-sectional survey of the prevalence of ATS dependence in Tehran. A researcher-made questionnai...

This paper provides an overview of the authors’ previous work in formulating a comprehensive approach to the important problem of water distribution network renewal planning, with a particular emphasis on the computing aspects involved. As pipes in a water distribution network age in service, they are characterized by increased frequency of breakage and decreased hydraulic capacity. The resulti...