Association of Rate of Functional Recovery With Therapy Time and Content Among Adults With Acquired Brain Injuries in Inpatient Rehabilitation
More activities of daily living in occupational therapy is associated with faster improvement on self-care function for adults with acquired brain injury, whereas more bed mobility in physical therapy was associated with slower improvement. A potential challenge with value-based payments is the alignment between clinically appropriate therapy activities and the metrics by which patient improvement are evaluated. There is a risk that therapists and facilities will prioritize activities that drive improvement on metrics and deemphasize other patient-centered goals.
Authors
- Pamela Roberts (ORCID: https://orcid.org/0000-0003-0946-1252)
- Alison M. Cogan (ORCID: https://orcid.org/0000-0002-6800-1988)
- Trudy Mallinson (ORCID: https://orcid.org/0000-0002-4888-5579)
Institutions
- University of Southern California (US)
- Cedars-Sinai Medical Center (US)
- George Washington University (US)
- Angeles Clinic and Research Institute (US)
- Center for the Study of Healthcare Provider Behavior (US)
- VA Greater Los Angeles Healthcare System (US)
Publication Details
- Journal
- Archives of Rehabilitation Research and Clinical Translation
- Published
- 2024-09-14
- DOI
- https://doi.org/10.1016/j.arrct.2024.100370
- Primary Topic
- Traumatic Brain Injury Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- American Occupational Therapy Foundation
- National Institutes of Health