Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug;95(33):e4356.
doi: 10.1097/MD.0000000000004356.

Physiatrist referral preferences for postacute stroke rehabilitation

David J Cormier  1 , Megan A Frantz, Ethan Rand, Joel Stein
Affiliations

Physiatrist referral preferences for postacute stroke rehabilitation

David J Cormier et al. Medicine (Baltimore). 2016 Aug.

Abstract

This study was intended to determine if there is variation among physiatrists in referral preferences for postacute rehabilitation for stroke patients based on physician demographic characteristics or geography.A cross-sectional survey study was developed with 5 fictional case vignettes that included information about medical, social, and functional domains. Eighty-six physiatrist residents, fellows, and attendings were asked to select the most appropriate postacute rehabilitation setting and also to rank, by importance, 15 factors influencing the referral decision. Chi-square bivariate analysis was used to analyze the data.Eighty-six surveys were collected over a 3-day period. Bivariate analysis (using chi-square) showed no statistically significant relationship between any of the demographic variables and poststroke rehabilitation preference for any of the cases. The prognosis for functional outcome and quality of postacute facility had the highest mean influence ratings (8.63 and 8.31, respectively), whereas location of postacute facility and insurance had the lowest mean influence ratings (5.74 and 5.76, respectively).Physiatrists' referral preferences did not vary with any identified practitioner variables or geographic region; referral preferences only varied significantly by case.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest.

Figures

Figure 1
Figure 1
Influencing factors.
See this image and copyright information in PMC

References

    1. Mozaffarian D, Benjamin EJ, Go AS, et al. Heart disease and stroke statistics: 2015 update: a report from the American Heart Association. Circulation 2015; 131:e29–e322. - PubMed
    1. Luker JA, Bernhardt J, Grimmer KA, et al. A qualitative exploration of discharge destination as an outcome or a driver of acute stroke care. BMC Health Serv Res 2014; 14:193. - PMC - PubMed
    1. Kennedy GM, Brock KA, Lunt AW, et al. Factors influencing selection for rehabilitation after stroke: a questionnaire using case scenarios to investigate physician perspectives and level of agreement. Arch Phys Med Rehabil 2012; 93:1457–1459. - PubMed
    1. Prvu Bettger JA, Kaltenbach L, Reeves MJ, et al. Assessing stroke patients for rehabilitation during the acute hospitalization: findings from the get with the guidelines-stroke program. Arch Phys Med Rehabil 2013; 94:38–45. - PubMed
    1. Stein J, Bettger JP, Sicklick A, et al. Use of a standardized assessment to predict rehabilitation care after acute stroke. Arch Phys Med Rehabil 2015; 96:210–217. - PubMed