- 著者
- 
             
             Yuichi Nishikawa
             
             Kazuhiko Hirata
             
             Yoshihiro Ito
             
             Kazuyuki Ueda
             
             Hiroaki Kimura
             
          
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.34, no.3, pp.225-229, 2022 (Released:2022-03-14)
- 参考文献数
- 15
        [Purpose] In April 2014, an additional health insurance system aiming to maintain or          improve activities of daily living levels was newly established by the Japanese          government. The purpose of this study was to determine the influence of this new medical          system for rehabilitation on patient management (e.g., activities of daily living level          and length of hospital stay) in an acute-phase stroke patient ward. [Participants and          Methods] All patients were admitted to the stroke patient ward in our hospital and were          registered between January 2012 and December 2019. We assessed the differences in the time          to initiation of rehabilitation, length of hospitalization, implementation rate of          rehabilitation, and Barthel Index between the period before the start of the new medical          system (Prior period) and after this system was started (Post period). [Results]          Significant improvements were observed in the initiation of rehabilitation and the          difference in the Barthel Index scores after the start of the new medical system. Although          the length of hospitalization and implementation rate of rehabilitation did not differ          significantly, both indicators gradually improved after the start of the new system.          [Conclusion] Our results suggest that the new medical system for rehabilitation is          beneficial for patient management in the acute-phase stroke patient ward.