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

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  • 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
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    References listed on IDEAS

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    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.
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