PM&R
Volume 1, Issue 11 , Pages 997-1003 , November 2009

Disparities in Outpatient and Home Health Service Utilization Following Stroke: Results of a 9-Year Cohort Study in Northern California

  • Leighton Chan, MD, MPH

      Affiliations

    • Rehabilitation Medicine Department, NIH Clinical Center, Building 10, CRC, Room 1-1469, 10 Center Drive, MSC 1604, Bethesda, MD 20892-1604†
    • Corresponding Author InformationAddress correspondence to: L.C.
    • ,
  • Hua Wang, MD, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Kaiser Foundation Rehabilitation Center, Vallejo, CA‡
    • ,
  • Joe Terdiman, MD, PhD

      Affiliations

    • Kaiser Permanente Division of Research, Oakland, CA§
    • ,
  • Jeanne Hoffman, PhD

      Affiliations

    • University of Washington, Seattle, WA
    • ,
  • Marcia A. Ciol, PhD

      Affiliations

    • University of Washington, Seattle, WA∥
    • ,
  • Bernadette Ford Lattimore, MPH

      Affiliations

    • Centers for Disease Control and Prevention, Atlanta, GA#
    • ,
  • Steven Sidney, MD

      Affiliations

    • Kaiser Permanente Division of Research, Oakland, CA⁎⁎
    • ,
  • Charles Quesenberry, PhD

      Affiliations

    • NIH Clinical Center, Bethesda, MD††
    • ,
  • Qi Lu, MS

      Affiliations

    • Kaiser Permanente Division of Research, Kaiser Foundation Rehabilitation Center, Vallejo, CA‡‡
    • ,
  • M. Elizabeth Sandel, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Kaiser Foundation Rehabilitation Center, Vallejo, CA§§

Received 17 July 2009 ,Accepted 26 September 2009.

References 

  1. Lloyd-Jones D, Adams R, Carnethon M, et al. Heart disease and stroke statistics—2009 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119:e21–e181
  2. Ferrucci L, Bandinelli S, Guralnik JM, et al. Recovery of functional status after stroke (A postrehabilitation follow-up study). Stroke. 1993;24:200–205
  3. Kelly-Hayes M, Beiser A, Kase CS, et al. The influence of gender and age on disability following ischemic stroke: The Framingham study. J Stroke Cerebrovasc Dis. 2003;12:119–126
  4. Rodin M, Saliba D, Brummel-Smith K American Geriatrics Society Clinical Practice Committee; Department of Veterans Affairs/Department of Defense. Guidelines abstracted from the Department of Veterans Affairs/Department of Defense clinical practice guideline for the management of stroke rehabilitation. J Am Geriatr Soc. 2006;54:158–162
  5. National clinical guidelines for stroke: A concise update. Clin Med. 2002;2:231–233
  6. Department of Health and Human Services. Clinical Practice Guideline No. 16: Post Stroke Rehabilitation (Report no. 95-0662). Rockville, MD: Agency for Health Care Policy and Research; 1995;
  7. Duncan PW, Zorowitz R, Bates B, et al. Management of adult stroke rehabilitation care: A clinical practice guideline. Stroke. 2005;36e:100–143
  8. Jorgensen HS, Nakayama H, Raaschou HO, Vive-Larsen J, Stoier M, Olsen TS. Outcome and time course of recovery in stroke (Part II: Time course of recovery. The Copenhagen Stroke Study). Arch Phys Med Rehabil. 1995;76:406–412
  9. Jorgensen HS, Nakayama H, Raaschou HO, Vive-Larsen J, Stoier M, Olsen TS. Outcome and time course of recovery in stroke (Part I: Outcome. The Copenhagen Stroke Study). Arch Phys Med Rehabil. 1995;76:399–405
  10. Dobkin BH. Clinical practice (Rehabilitation after stroke). N Engl J Med. 2005;352:1677–1684
  11. Taub E, Uswatte G, Morris DM. Improved motor recovery after stroke and massive cortical reorganization following constraint-induced movement therapy. Phys Med Rehabil Clin N Am. 2003;14(1 Suppl):S77–S91ix
  12. Gordon NF, Gulanick M, Costa F, et al. Physical activity and exercise recommendations for stroke survivors: An American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Stroke. 2004;35:1230–1240
  13. Hoenig H, Duncan PW, Horner RD, et al. Structure, process, and outcomes in stroke rehabilitation. Med Care. 2002;40:1036–1047
  14. Mayo NE, Wood-Dauphinee S, Cote R, et al. There's no place like home: An evaluation of early supported discharge for stroke. Stroke. 2000;31:1016–1023
  15. Anderson C, Mhurchu CN, Rubenach S, Clark M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? (Results of a randomized controlled trial: II: Cost minimization analysis at 6 months). Stroke. 2000;31:1032–1037
  16. Anderson C, Rubenach S, Mhurchu CN, Clark M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? (Results of a randomized controlled trial: I. Health outcomes at 6 months). Stroke. 2000;31:1024–1031
  17. Werner RA, Kessler S. Effectiveness of an intensive outpatient rehabilitation program for postacute stroke patients. Am J Phys Med Rehabil. 1996;75:114–120
  18. Logan PA, Ahern T, Gladman JR, Lincoln NB. A randomized controlled trial of enhanced Social Service occupational therapy for stroke patients. Clin Rehabil. 1997;11:107–113
  19. Logan PA, Gladman JR, Drummond AE, Radford KA TOTAL Study Group. A study of interventions and related outcomes in a randomized controlled trial of occupational therapy and leisure therapy for community stroke patients. Clin Rehabil. 2003;17:249–255
  20. Kwakkel G, Kollen BJ, Wagenaar RC. Long term effects of intensity of upper and lower limb training after stroke: A randomised trial. J Neurol Neurosurg Psychiatry. 2002;72:473–479
  21. Kwakkel G, Wagenaar RC, Twisk JW, Lankhorst GJ, Koetsier JC. Intensity of leg and arm training after primary middle-cerebral-artery stroke: A randomised trial. Lancet. 1999;354:191–196
  22. Therapy-based rehabilitation services for stroke patients at home. Cochrane Database Syst Rev. 2003;(1):CD002925
  23. Stansbury JP, Jia H, Williams LS, Vogel WB, Duncan PW. Ethnic disparities in stroke: Epidemiology, acute care, and postacute outcomes. Stroke. 2005;36:374–386
  24. Morgenstern LB, Smith MA, Lisabeth LD, et al. Excess stroke in Mexican Americans compared with non-Hispanic Whites: The Brain Attack Surveillance in Corpus Christi Project. Am J Epidemiol. 2004;160:376–383
  25. Sandel ME, Wang H, Terdiman J, et al. Disparities in stroke rehabilitation: Results of a study in an integrated health system in Northern California. PM & R. 2009;1:29–40
  26. Gregory PC, Han E, Morozova O, Kuhlemeier KV. Do racial disparities exist in access to inpatient stroke rehabilitation in the state of Maryland?. Am J Phys Med Rehabil. 2006;85:814–819
  27. Goldstein LB, Matchar DB, Hoff-Lindquist J, Samsa GP, Horner RD. Veterans Administration Acute Stroke (VASt) Study: Lack of race/ethnic-based differences in utilization of stroke-related procedures or services. Stroke. 2003;34:999–1004

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

 This study supported by funding from the Centers for Disease Control and Prevention. Additional resources were provided by the Intramural Research Program of (Clinical Research Center) the National Institutes of Health, the Centers for Medicare and Medicaid Services, and Kaiser Permanente.

 The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention or the National Institutes of Health.

PII: S1934-1482(09)01403-8

doi: 10.1016/j.pmrj.2009.09.019

PM&R
Volume 1, Issue 11 , Pages 997-1003 , November 2009

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