The impact of a structured rehabilitation program for uninsured individuals.
Christina DraganichJeffrey BerlinerMitch SevignyWilliam NiehausAngela M PhilippusLisa PayneDon GerberKimberley R MondenPublished in: Rehabilitation psychology (2022)
A majority of patients reported not having a primary care provider nor a checkup within the past 5 years. This sample also reported extensive physical needs at admission. Seventy-three percent of the sample improved on the WHOQOL-BREF physical domain by discharge with a large effect size. The psychological, social, and environmental domain scores did not show a reliable pattern of change in this sample. Conclusions/Implication: These results support previously noted gaps in care among individuals with BI, SCI, stroke, and amputation and suggest that a monthly clinic can improve physical quality of life. This exploratory study aims to lay the foundation for future research that is needed to understand the factors that exclude these individuals from the health care system and to help key stakeholders to advocate for these patients and improve their early access to rehabilitation care. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Keyphrases
- primary care
- end stage renal disease
- healthcare
- mental health
- ejection fraction
- physical activity
- chronic kidney disease
- quality improvement
- palliative care
- peritoneal dialysis
- prognostic factors
- atrial fibrillation
- patient reported outcomes
- brain injury
- affordable care act
- subarachnoid hemorrhage
- blood brain barrier