Article
Public, Environmental & Occupational Health
Giorgio Cometto, Samuel Assegid, Geta Abiyu, Mesfin Kifle, Ozge Tuncalp, Shamsuzzoha Syed, Melissa Kleine Bingham, Jennifer Nyoni, Onyema Kester Ajuebor
Summary: The progressive realisation of universal health coverage requires policies and management strategies that enable health workers to provide compassionate and respectful care. This paper explores various policy options, such as competency-based education, supportive supervision, and workforce governance, to enhance the quality of care and support health workers in fulfilling their roles and responsibilities.
Review
Medicine, General & Internal
Abdulazeez Imam, Sopuruchukwu Obiesie, Jalemba Aluvaala, Jackson Michuki Maina, David Gathara, Mike English
Summary: This study identified a lack of literature on nurse staffing and patient care outcomes in low/middle-income countries (LMICs) through a synthesis of published systematic reviews. The available data from LMICs were limited, and the data from high-income countries might not be representative of LMICs. This highlights the critical need for research on nurse staffing in LMIC contexts.
Article
Cardiac & Cardiovascular Systems
Akash Kataruka, Charles C. Maynard, Ravi S. Hira, Larry Dean, Todd Dardas, Hitinder Gurm, Josiah Brown, Michael E. Ring, Jacob A. Doll
Summary: Many PCI programs in Washington State do not meet minimum volume standards despite government regulation. This certificate of need strategy has resulted in a tiered system where low-volume centers treat high-risk patients with poor outcomes, but there is not a significant increase in geographic access.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Rehabilitation
Tamra Keeney, Amit Kumar, Kimberly S. Etter, Amol M. Karmarkar
Summary: Advancements in data science and health informatics have opened up possibilities for integrating patient-reported outcome measures (PROMs) into clinical workflows and improving rehabilitation service delivery. Standardization of PROMs data collection and increased partnerships can help advance rehabilitation health services research.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Review
Oncology
Jens Lehmann, Maria Rothmund, David Riedl, Gerhard Rumpold, Vincent Grote, Michael J. Fischer, Bernhard Holzner
Summary: The goal of cancer rehabilitation is to help patients recover physically and psychologically after acute cancer treatment and regain their social life. To assess the effectiveness of rehabilitation interventions, it is important to measure their outcomes. This can be done through clinician reports, patient performance testing, observation of behavior, or direct patient feedback. This paper focuses on patient reports and provides an overview of available questionnaires for assessment and advice on their use. The use of electronic systems for collecting data is highlighted as the most promising approach. The assessment of patient perspective aims to inform decisions on choosing and reimbursing rehabilitation interventions based on patients' needs. The article reviews different types of clinical outcome assessments and emphasizes the importance of patient-reported outcomes (PROs) which provide direct reports from patients about their health condition without interpretation by a third party. The article also discusses the current state of PRO implementation in cancer rehabilitation, highlights trends in using PROs for value-based care, and provides examples of PRO usage and the benefits of electronic PRO collection. Advice is offered on selecting, implementing, and integrating PROs into cancer rehabilitation settings to maximize efficiency.
Article
Public, Environmental & Occupational Health
Nadia Tagoe, Justin Pulford, Sam Kinyanjui, Sassy Molyneux
Summary: This study examines the impact of management strategies on research capacity strengthening in health research capacity strengthening (HRCS) consortia. It finds that alignment between management strategies and capacity development principles enhances the effectiveness and value for money of consortia.
Article
Medicine, General & Internal
Maura Leusder, Hilco J. van Elten, Kees Ahaus, Carina G. J. M. Hilders, Evert J. P. van Santbrink
Summary: This article describes the design, methodology, and data collection process of a value measurement and process improvement study in fertility care. By combining time-driven, activity-based costing with observations and process mining, a method for measuring care costs for large cohorts using electronic health record data was trialed. The study design can be of value to researchers and practitioners looking to measure costs for care paths or entire patient journeys in complex care settings.
Article
Management
Elodie Adida, Fernanda Bravo
Summary: The Centers for Medicare & Medicaid Services launched the Primary Care First (PCF) initiative in January 2021 to incentivize a redesign of primary care delivery, including new modes of delivery. A model was analyzed to examine the impact of PCF on stakeholders and provide insights on optimizing its design. The results showed that PCF can be designed to yield a socially optimal outcome, but certain adjustments may be necessary based on the local population's health status.
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT
(2023)
Article
Geriatrics & Gerontology
Sarguni Singh, Hillary D. Lum, Jean Kutner, Stacy Fischer
Summary: Hospitalized older cancer patients discharged to skilled nursing facilities for rehabilitation often do not receive future cancer treatment, have high readmission rates, and face high mortality with minimal hospice use. The new patient-driven payment model for SNFs may impact their experience, highlighting the importance of access to palliative care and discussing challenges in developing palliative care guidelines and delivery models in SNFs. There are policy gaps in creating a system that achieves high-quality SNF care, and suggestions are offered to better incorporate a patient's illness trajectory, prognosis, and goals of care.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Medicine, General & Internal
Fiona Grimm, Dan Lewer, John Craig, Rafi Rogans-Watson, Jenny Shand
Summary: This study explores the relationship between hospital admissions and the initiation of domiciliary care packages. It finds that hospitals are a major referral route for domiciliary care, with many care packages being initiated during or after a hospital stay. Hip fracture, pneumonia, and stroke were the primary admission reasons associated with the largest number of domiciliary care packages.
Article
Health Policy & Services
Alarcos Cieza, Aku Kwamie, Qhayiya Magaqa, Nino Paichadze, Carla Sabariego, Karl Blanchet, Nukhba Zia, Abdulgafoor M. Bachani, Abdul Ghaffar, Bente Mikkelsen
Summary: A global consultation process was conducted to develop a research framework for rehabilitation. The framework is based on an ecological model and emphasizes the multilevel interactions needed across health systems to strengthen rehabilitation. A set of preliminary research questions was proposed to guide future research in this field.
HEALTH RESEARCH POLICY AND SYSTEMS
(2022)
Article
Health Care Sciences & Services
Saeed Shahabi, Carlotte Kiekens, Manal Etemadi, Parviz Mojgani, Ahmad Ahmadi Teymourlouei, Kamran Bagheri Lankarani
Summary: Based on the WHO six building blocks framework, this study identified several policy options for integrating rehabilitation services into the Iranian PHC Network, including increasing political support, promoting inter-sectoral collaborations, and improving the skills and knowledge of healthcare workers.
BMC HEALTH SERVICES RESEARCH
(2022)
Review
Medicine, General & Internal
Sara Rizvi Jafree, Qaisar Khalid Mahmood, Sohail Mujahid, Muhammad Asim, Jane Barlow
Summary: Women living in Pakistan face complex health problems, including infectious and non-communicable diseases, accidents and injuries, and mental health issues. This review synthesizes the available evidence on the effectiveness of primary care interventions for improving women's mental and physical health. The review highlights several key approaches that appear to be effective, such as active door-to-door and group-based care, utilization of community peers, and the integration of financial vouchers.
Article
Medicine, General & Internal
Suzanne Nielsen, Rachelle Buchbinder, Christopher Pearce, Dan Lubman, Samanta Lalic, Romi Haas, Louisa Picco, Monica Jung, Helena Cangadis-Douglass, Jenni Ilomaki, J. Simon Bell, Ting Xia
Summary: The OPPICO cohort is a population-based cohort created to understand opioid prescribing, policy impacts, and clinical outcomes. This paper provides a profile of the study cohort by summarizing available demographic, clinical, and prescribing characteristics.
Article
Medicine, General & Internal
Juliette Malley, Annette Bauer, Annette Boaz, Hannah Kendrick, Martin Knapp
Summary: Research-practice partnerships are long-term collaborations between research and practice that aim to improve practice. This project aims to explore whether the RPP approach can be applied successfully in English care homes. The study takes a theory-based approach, using a mixed-methods design, to evaluate and improve the effectiveness of RPPs in the care home context.
Article
Rehabilitation
Callie E. Tyner, Pamela A. Kisala, Allen W. Heinemann, Denise Fyffe, Denise G. Tate, Mary D. Slavin, Alan M. Jette, David S. Tulsky
Summary: This study evaluated the psychometric properties of the SCI-FI instruments in a community-dwelling sample, and found that the instruments demonstrated good test-retest reliability, convergent validity, and known-groups validity.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Clinical Neurology
Jessica Pruente, Allen W. Heinemann, Kathy Zebracki, Shubra Mukherjee, Deborah Gaebler-Spira
Summary: The study aimed to describe the adult outcomes of spinal cord injury (SCI) caused by gun injuries compared to non-violent etiologies, as well as their utilization of health services. The results showed that the gun injury group had lower educational attainment and income level, despite similar employment rates. The study suggests that gun injuries are associated with decreased educational attainment and lifetime income.
JOURNAL OF SPINAL CORD MEDICINE
(2023)
Article
Rehabilitation
Yuying Chen, Jeanne M. Zanca, Allen W. Heinemann, Michael Boninger, Amanda L. Botticello, Leslie R. Morse
Summary: This article serves as an introduction to the research on spinal cord injury (SCI) in the United States, specifically the efforts made by the SCIMS program. Since 1970, the SCIMS centers funded by NIDILRR have been working to improve the long-term outcomes for individuals with SCI through comprehensive care and research collaborations.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Huacong Wen, Michael J. DeVivo, Allen W. Heinemann, James S. Krause, Susan Robinson-Whelen, Yuying Chen
Summary: This study highlights the association between BMI and mortality after spinal cord injury, showing higher mortality risk among patients with low and extremely high BMI. Health care professionals should focus on weight management, and future research should explore factors contributing to increased mortality.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Jessica Kersey, Lauren Terhorst, Joy Hammel, Carolyn Baum, Joan Toglia, Michael W. O'Dell, Allen W. Heinemann, Michael McCue, Elizabeth R. Skidmore
Summary: The Control subscale required 9 points of change, and the Importance subscale required 11 points of change, to achieve statistically and clinically meaningful changes, suggesting adequate sensitivity to change.
CLINICAL REHABILITATION
(2022)
Article
Health Care Sciences & Services
Sherri L. LaVela, Christine Pellegrini, Allen W. Heinemann, Linda S. Ehrlich-Jones, Brian Bartle, Lisa Burkhart, Jessica Pederson
Summary: This article describes the development of an educational curriculum for healthcare providers to help individuals with SCI prevent or manage overweight/obesity. Thematic analysis of interviews conducted with individuals with SCI pinpointed central educational curriculum topics.
DISABILITY AND HEALTH JOURNAL
(2022)
Review
Environmental Sciences
Francesca Gimigliano, Vanessa M. Young, Chiara Arienti, Silvia Bargeri, Greta Castellini, Silvia Gianola, Stefano G. Lazzarini, Antimo Moretti, Allen W. Heinemann, Stefano Negrini
Summary: This review examines the effectiveness of behavioral interventions for adults with post-traumatic stress disorder (PTSD) triggered by physical injury or medical trauma. It suggests that trauma-focused cognitive-behavioral therapy, cognitive therapy, and cognitive-behavioral therapy can be effective in reducing PTSD symptoms. However, the effectiveness of these interventions in improving functioning and quality of life remains uncertain. Further research is needed to explore their efficacy in the context of rehabilitation management and gather evidence on this population.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Rehabilitation
Stephen C. L. Lau, Lisa Tabor Connor, Allen W. Heinemann, Carolyn M. Baum
Summary: Network analysis helps to understand the complex dynamics of cognitive constructs and the interplay between cognition and daily life activities. This study characterizes the cognition network, identifies central and bridge cognitive constructs, and explores the pathway connecting cognition and daily life activities.
OTJR-OCCUPATION PARTICIPATION AND HEALTH
(2022)
Review
Rehabilitation
T. S. Jesus, B. Z. Stern, J. Struhar, A. Deutsch, A. W. Heinemann
Summary: This study aims to characterize the use of patient experience feedback for person-centered rehabilitation quality improvement and codesign activities. The results showed that there were few examples of such use in the rehabilitation literature, and patient experience improvement activities relied mainly on retrospective survey data without combining more actionable forms of patient experience feedback. Further research is needed to design activities that collect and utilize patient experience feedback for rehabilitation service improvements.
CLINICAL REHABILITATION
(2023)
Article
Rehabilitation
Han Su, Jasin Wong, Angelika Kudla, Mirang Park, Robert Trierweiler, Pamela Capraro, Deborah Crown, Nnaemezie Ezeife, Stephanie Tomazin, Elizabeth G. S. Munsell, Allen W. Heinemann
Summary: This research aimed to explore disability phenotypes, frequently used accommodations, and employee- and job-related factors associated with the extent of job accommodation use. The survey identified three disability phenotypes and found that flexible working schedules, telework, and access to a support person in the workplace were the most common accommodations. Accommodation use was found to be associated with employee- and job-related factors.
JOURNAL OF OCCUPATIONAL REHABILITATION
(2023)
Article
Rehabilitation
Linda Resnik, Matthew Borgia, Allen W. Heinemann, Phillip Stevens, Melissa A. Clark, Pengsheng Ni
Summary: This study aims to develop a self-report measure of activity performance for upper limb prosthesis users that quantifies outcomes by level of amputation and prosthesis type. Through a telephone survey and analysis of the data, the study obtained some psychometric properties of the measure. The measure showed differences in performance among users with different levels of amputation.
DISABILITY AND REHABILITATION
(2023)
Article
Engineering, Biomedical
Daniel Pinto, Allen W. Heinemann, Shuo-Hsiu Chang, Susan Charlifue, Edelle C. Field-Fote, Catherine L. Furbish, Arun Jayaraman, Candace Tefertiller, Heather B. Taylor, Dustin D. French
Summary: This study aimed to estimate the cost-effectiveness of locomotor training strategies following spinal cord injury (SCI) by injury status (complete versus incomplete). The results showed that conventional training was more cost-effective than overground robotic training for patients with incomplete SCI, while overground robotic training was more cost-effective than conventional training for patients with complete SCI.
JOURNAL OF NEUROENGINEERING AND REHABILITATION
(2023)
Article
Critical Care Medicine
Jonathan S. Theros, Katelyn B. Zumpf, Tara Lagu, Saieesh Rao, Brian J. Nasca, Allen W. Heinemann, Michael B. Shapiro, Karl Y. Bilimoria, Anne M. Stey
Summary: Post-acute care following SCI or TBI has a significant impact on neurological function recovery. Inpatient rehabilitation facilities (IRFs) show better outcomes and lower mortality rates compared to skilled nursing facilities (SNFs). This study explores the access to inpatient rehabilitation based on insurance and estimates the associated costs.
JOURNAL OF NEUROTRAUMA
(2023)
Review
Gerontology
Jasin Wong, Jessica Pedersen, Niveda Tennety, Lindsay DuBois, Rudyard Chiu, Dhrumil Shah, Glenn Malecki, Q. Eileen Wafford, Allen W. W. Heinemann
Summary: Home and community-based services (HCBS) help people with disabilities and older adults live in their homes, and it is important to use person-centered approaches when developing support plans. This study identified key competencies for delivering person-centered supports and examined the relationship between HCBS and its outcomes.
JOURNAL OF APPLIED GERONTOLOGY
(2023)
Editorial Material
Rehabilitation
Stefano Negrini, Kristian Borg, Anne Cusick, Giorgio Ferriero, Walter R. Frontera, Douglas P. Gross, Allen Heinemann, Wendy Machalicek, Ann Patricia Moore, Randolph J. Nudo, Dominic Perennou, Henk Stam, Carlotte Kiekens
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2023)
