PMID- 30269811
OWN - NLM
STAT- MEDLINE
DCOM- 20191015
LR  - 20191015
IS  - 1934-1563 (Electronic)
IS  - 1934-1482 (Linking)
VI  - 10
IP  - 9 Suppl 2
DP  - 2018 Sep
TI  - The Transformation of the Rehabilitation Paradigm Across the Continuum of Care.
PG  - S264-S271
LID - S1934-1482(18)30854-2 [pii]
LID - 10.1016/j.pmrj.2018.08.381 [doi]
AB  - As healthcare continues to evolve, there are changes in the delivery of care for 
      patients with severe neurologic injuries. Although the acute hospital stay is 
      shortening, physiatrists can play a key role in preparing patients for 
      rehabilitation, minimizing longer-term complications and helping to determine the 
      most appropriate paths for further treatment. Inpatient rehabilitation facilities 
      (IRFs) continue to be an important part of the care continuum for patients with 
      severe injuries, but the role of IRFs has also evolved as patients have been 
      admitted with increasing medical and neurologic complexity and length of stay 
      continues to be reduced. Skilled nursing facilities and subacute facilities 
      continue to evolve, in part to fill the gaps that have developed for patients who 
      are "not yet ready for rehabilitation" and for those whose recovery trajectory 
      has been deemed too slow for IRF. Outpatient care is also changing, in part due 
      to the availability of new rehabilitation interventions as highlighted in other 
      sections of the supplement. Furthermore, telemedicine will provide additional 
      options for expanding specialized care beyond prior geographical limitations. 
      Physiatrists need to be aware of these ongoing changes and the roles that they 
      can play outside of the traditional IRF model of care. This article will focus on 
      the innovations in healthcare delivery and opportunities to maximize outcomes in 
      the current and future models of care.
CI  - Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation. 
      Published by Elsevier Inc. All rights reserved.
FAU - Watanabe, Thomas K
AU  - Watanabe TK
AD  - Department of Physical Medicine and Rehabilitation, MossRehab / Einstein 
      Healthcare Network, Elkins Park, 60 Township Line Road, Elkins Park, PA 19027( *). 
      Electronic address: watanabt@einstein.edu.
FAU - Esquenazi, Alberto
AU  - Esquenazi A
AD  - Department of Physical Medicine and Rehabilitation, MossRehab / Einstein 
      Healthcare Network, Elkins Park, PA(dagger).
FAU - Flanagan, Steven
AU  - Flanagan S
AD  - Department of Rehabilitation Medicine, New York University School of Medicine, 
      New York, NY(double dagger).
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - PM R
JT  - PM & R : the journal of injury, function, and rehabilitation
JID - 101491319
SB  - IM
MH  - Continuity of Patient Care/*organization & administration
MH  - Humans
MH  - *Inpatients
MH  - Rehabilitation Centers/*organization & administration
EDAT- 2018/10/03 06:00
MHDA- 2019/10/16 06:00
CRDT- 2018/10/02 06:00
PHST- 2018/07/31 00:00 [received]
PHST- 2018/08/09 00:00 [revised]
PHST- 2018/08/10 00:00 [accepted]
PHST- 2018/10/02 06:00 [entrez]
PHST- 2018/10/03 06:00 [pubmed]
PHST- 2019/10/16 06:00 [medline]
AID - S1934-1482(18)30854-2 [pii]
AID - 10.1016/j.pmrj.2018.08.381 [doi]
PST - ppublish
SO  - PM R. 2018 Sep;10(9 Suppl 2):S264-S271. doi: 10.1016/j.pmrj.2018.08.381.