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Multidisciplinary rehabilitation versus medical care: A meta-analysis

Ron L. Evans, Richard T. Connis, Robert D. Hendricks and Jodie K. Haselkorn

Social Science & Medicine, 1995, vol. 40, issue 12, 1699-1706

Abstract: Research studies in physical medicine have not demonstrated the effectiveness of inpatient rehabilitation services, primarily due to differences in methodological approaches which have led to inconsistent findings. Because of differing inclusion and outcome criteria, even meta-analyses have been inconclusive. To address this problem, research literature comparing the clinical effectiveness of rehabilitation programs with medical care was evaluated for three uniformly available outcome criteria: survival; functional ability; and discharge location. Published trials were obtained from citations in Index Medicus (Medline) and Nursing and Allied Health Abstracts covering the recent 20 year period from 1974 to 1994. We used meta-analyses to test the hypotheses that specialized rehabilitative care (vs conventional medical care) improves health outcomes. Results of our meta-analyses indicated that rehabilitation services were significantly associated with better rates of survival and improved function during hospital stay (P

Keywords: meta-analysis; rehabilitation; medicine; physical; therapy (search for similar items in EconPapers)
Date: 1995
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