IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i2p1419-d1033779.html
   My bibliography  Save this article

Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke

Author

Listed:
  • Hsiang-Yun Chou

    (Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

  • Ya-Wen Tsai

    (Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

  • Shang-Chun Ma

    (Institute of Physical Education, Health & Leisure Studies, National Cheng Kung University, Tainan 701401, Taiwan)

  • Shang-Min Ma

    (Department of Recreational Sport & Health Promotion, National Pingtung University of Science & Technology, Pingtung 912301, Taiwan)

  • Chia-Li Shih

    (Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

  • Chieh-Ting Yeh

    (Department of Nursing, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

Abstract

Few studies have investigated changes in functional outcomes and economic burden in patients in the postacute care cerebrovascular disease (PAC-CVD) program. We, for the first time, retrospectively investigated changes in functional performance and the national health insurance (NHI) cost over 12 PAC-CVD hospitalization weeks and evaluated the therapeutic effects of the PAC-CVD program on the NHI cost. Specifically, the functional outcomes and NHI cost of 263 stroke patients in the PAC-CVD program were analyzed. The repeated measures t test was used to compare functional performance over 0–3 weeks, and a one-way repeated measures multivariate analysis of variance was used to compare functional performance and NHI costs during weeks 0–6 and 0–9. The Wilcoxon signed-rank test was used to compare functional performance over weeks 9–12. Hierarchical multiple regression was used to estimate the effects of functional performance on NHI costs during weeks 3, 6, and 9. Over weeks 0–12, all functional performance measures demonstrated significant improvements. Changes in NHI costs varied depending on whether hospitalization was extended. At any time point, functional performance did not have a significant impact on NHI cost. Therefore, the PAC-CVD program may aid patients with stroke in sustainably regaining functional performance and effectively controlling economic burden.

Suggested Citation

  • Hsiang-Yun Chou & Ya-Wen Tsai & Shang-Chun Ma & Shang-Min Ma & Chia-Li Shih & Chieh-Ting Yeh, 2023. "Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1419-:d:1033779
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/2/1419/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/2/1419/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Hsiang-Yun Chou & Yu-Chun Lo & Ya-Wen Tsai & Chia-Li Shih & Chieh-Ting Yeh, 2021. "Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    2. Chen-Yu Hung & Wei-Ting Wu & Ke-Vin Chang & Tyng-Guey Wang & Der-Sheng Han, 2017. "Predicting the length of hospital stay of post-acute care patients in Taiwan using the Chinese version of the continuity assessment record and evaluation item set," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-10, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Maria Restrepo Tique & Oscar Araque & Luz Adriana Sanchez-Echeverri, 2024. "Technological Advances in the Diagnosis of Cardiovascular Disease: A Public Health Strategy," IJERPH, MDPI, vol. 21(8), pages 1-15, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1419-:d:1033779. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.