Preeti Raghavan1,2. 1. Department of Rehabilitation Medicine, New York University School of Medicine, 240 E 38th Street, 17th Floor, New York, NY, 10016, USA. Preeti.Raghavan@nyumc.org. 2. Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, USA. Preeti.Raghavan@nyumc.org.
Abstract
PURPOSE OF REVIEW: The goal of this paper is to critically examine the challenges to clinical practice in acute neurorehabilitation settings to provide evidence-based recommendations for conducting research on neurologic recovery. RECENT FINDINGS: Recent changes in health care have dramatically challenged post-acute care by reducing the length of stay and increasing transitions in care with resulting loss of continuity of care and follow-up. These challenges hinder research and undermine progress in neurorehabilitation. Based on recent evidence, a hub and spoke model is proposed to bridge and facilitate continuity of care from acute to subacute to community settings to meet these challenges head on and facilitate research on mechanisms of functional recovery from neurologic conditions.
PURPOSE OF REVIEW: The goal of this paper is to critically examine the challenges to clinical practice in acute neurorehabilitation settings to provide evidence-based recommendations for conducting research on neurologic recovery. RECENT FINDINGS: Recent changes in health care have dramatically challenged post-acute care by reducing the length of stay and increasing transitions in care with resulting loss of continuity of care and follow-up. These challenges hinder research and undermine progress in neurorehabilitation. Based on recent evidence, a hub and spoke model is proposed to bridge and facilitate continuity of care from acute to subacute to community settings to meet these challenges head on and facilitate research on mechanisms of functional recovery from neurologic conditions.
Authors: Nneka L Ifejika; Farhaan Vahidy; Linda A Aramburo-Maldonado; Chunyan Cai; Melvin R Sline; James C Grotta; Sean I Savitz Journal: Int J Neurorehabil Date: 2015-10-15
Authors: Carolee J Winstein; Joel Stein; Ross Arena; Barbara Bates; Leora R Cherney; Steven C Cramer; Frank Deruyter; Janice J Eng; Beth Fisher; Richard L Harvey; Catherine E Lang; Marilyn MacKay-Lyons; Kenneth J Ottenbacher; Sue Pugh; Mathew J Reeves; Lorie G Richards; William Stiers; Richard D Zorowitz Journal: Stroke Date: 2016-05-04 Impact factor: 7.914
Authors: Aznida Firzah Abdul Aziz; Nor Azlin Mohd Nordin; Mohd Fairuz Ali; Noor Azah Abd Aziz; Saperi Sulong; Syed Mohamed Aljunid Journal: BMC Health Serv Res Date: 2017-01-13 Impact factor: 2.655