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Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury.
Lorenz, Laura S; Doonan, Michael.
  • Lorenz LS; The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, United States.
  • Doonan M; The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, United States.
Front Public Health ; 9: 753447, 2021.
Article in English | MEDLINE | ID: covidwho-1775949
ABSTRACT
Acquired brain injury (ABI) is a major global public health problem and source of disability. A major contributor to disability after severe ABI is limited access to multidisciplinary rehabilitation, despite evidence of sustained functional gains, improved quality of life, increased return-to-work, and reduced need for long-term care. A societal model of value in rehabilitation matches patient and family expectations of outcomes and system expectations of value for money. A policy analysis of seven studies (2009-2019) exploring outcomes and cost-savings from access to multi-disciplinary rehabilitation identified average lifetime savings of $1.50M per person, with costs recouped within 18 months.

Recommendations:

Increase access to multi-disciplinary rehabilitation following severe ABI; strengthen prevention focus; increase access to case management; support return-to-work; and systematically collect outcome and cost data.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rehabilitation / Brain Injuries Type of study: Prognostic study Limits: Humans Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.753447

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Rehabilitation / Brain Injuries Type of study: Prognostic study Limits: Humans Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.753447