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The Operation of a Hospital Based Specialty Home Health Team: Activities and Associated Costs

Authors

  • Philip R. Fine PhD MSPH,

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    • At the time of the original publication, Philip R. Fine was an assistant professor of epidemiology in the Department of Rehabilitation Medicine at the University of Alabama in Birmingham, the director of research for the Medical Rehabilitation Research and Training Center, and a coinvestigator of the Model Regional Spinal Cord Injury Center Project. He is now the principal investigator and center director of the Injury Control Research Center—Department of Medicine, University of Alabama. He is also a professor of medicine and holds secondary appointments in the School of Public Health and the university's Graduate School. Sybil R. Better is a medical sociologist. In 1978 she was associated with the Medical Rehabilitation Research and Training Center at the University of Alabama. She is now special assistant to the chancellor and the dean at the Medical School of the University of Wisconsin—Madison. Janet L. Engstrand was director of nursing at Spain Rehabilitation Center, University of Alabama Hospitals, and an assistant professor of nursing at the university. She is now retired.

  • Sybil R. Better MS,

    Search for more papers by this author
    • At the time of the original publication, Philip R. Fine was an assistant professor of epidemiology in the Department of Rehabilitation Medicine at the University of Alabama in Birmingham, the director of research for the Medical Rehabilitation Research and Training Center, and a coinvestigator of the Model Regional Spinal Cord Injury Center Project. He is now the principal investigator and center director of the Injury Control Research Center—Department of Medicine, University of Alabama. He is also a professor of medicine and holds secondary appointments in the School of Public Health and the university's Graduate School. Sybil R. Better is a medical sociologist. In 1978 she was associated with the Medical Rehabilitation Research and Training Center at the University of Alabama. She is now special assistant to the chancellor and the dean at the Medical School of the University of Wisconsin—Madison. Janet L. Engstrand was director of nursing at Spain Rehabilitation Center, University of Alabama Hospitals, and an assistant professor of nursing at the university. She is now retired.

  • Janet L. Engstrand MA RN

    Search for more papers by this author
    • At the time of the original publication, Philip R. Fine was an assistant professor of epidemiology in the Department of Rehabilitation Medicine at the University of Alabama in Birmingham, the director of research for the Medical Rehabilitation Research and Training Center, and a coinvestigator of the Model Regional Spinal Cord Injury Center Project. He is now the principal investigator and center director of the Injury Control Research Center—Department of Medicine, University of Alabama. He is also a professor of medicine and holds secondary appointments in the School of Public Health and the university's Graduate School. Sybil R. Better is a medical sociologist. In 1978 she was associated with the Medical Rehabilitation Research and Training Center at the University of Alabama. She is now special assistant to the chancellor and the dean at the Medical School of the University of Wisconsin—Madison. Janet L. Engstrand was director of nursing at Spain Rehabilitation Center, University of Alabama Hospitals, and an assistant professor of nursing at the university. She is now retired.


Abstract

Since 1972 a hospital based specialty home health team consisting of a Registered Nurse, a Registered Physical Therapist, and a Vocational Rehabilitation Counselor has been serving spinal cord injury patients hospitalized previously in a University affiliated Rehabilitation Center. This paper presents the preliminary findings resulting from a study examining the appropriateness, cost-effectiveness, and efficiency of this unique rehabilitation facility service component.

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