Interaction effects of in-hospital rehabilitation and the use of community-based services after hospital discharge on patients’ subsequent functional abilities
Hidetoshi Shibuta, Takeru Abe, Hidekazu Miyamoto, Akihito Hagihara
Department of Health Services, Management and Policy, Kyushu University Graduate School of Medicine, Maidashi, Higashi-ku, Fukuoka, Japan
Background: Patients’ functional abilities after hospital discharge are influenced by rehabilitation during their hospital stay and their use of community-based services after hospital discharge. This study examined the interaction between rehabilitation during hospital stay, the use of community-based rehabilitation and non-rehabilitation services and their influence on patients’ subsequent functional abilities.
Methods: This cohort study included 509 inpatients who underwent rehabilitation between 2008 and 2011 in Japan. Participants were categorized into 2 groups based on their condition: stroke and other. Interaction effects between the change in Functional Independence Measure (FIM) and the use of community-based rehabilitation and non-rehabilitation services on patients’ subsequent functional abilities were estimated by sequential linear regression analyses in which the dependent variable was the FIM score 3 months after hospital discharge.
Results: A significant interaction between the change in FIM and the use of community-based rehabilitation or non-rehabilitation services after hospital discharge was observed among stroke and other patients.
Conclusion: Rehabilitation during hospital stay and the use of community-based rehabilitation or non-rehabilitation services interacted to influence the subsequent functional abilities of patients discharged home. These findings may be useful for maintaining patients’ functional abilities after hospital discharge.
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