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

Hsiang-Yun Chou, Ya-Wen Tsai (), Shang-Chun Ma (), Shang-Min Ma, Chia-Li Shih and Chieh-Ting Yeh
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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

IJERPH, 2023, vol. 20, issue 2, 1-13

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.

Keywords: postacute care; stroke; rehabilitation; functional outcome; walking ability; national health insurance cost (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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Citations: View citations in EconPapers (1)

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