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State-of-the-Science on Postacute Rehabilitation: Setting a Research Agenda and Developing an Evidence Base for Practice and Public Policy—An Introduction

AW Heinemann, PhD, ABPP (Rp), FACRM, is Professor, Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, and Director, Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, 345 E Superior St, Chicago, IL 60611-2654 (USA)

Address all correspondence and reprint requests to Dr Heinemann at: a-heinemann{at}northwestern.edu

The Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness, along with academic, professional, provider, accreditor, and other organizations, sponsored a 2-day State-of-the-Science of Post-Acute Rehabilitation Symposium in February 2007. The aim of this symposium was to serve as a catalyst for expanded research on postacute care (PAC) rehabilitation so that health policy is founded on a solid evidence base. The goals were: (1) to describe the state of our knowledge regarding utilization, organization, and outcomes of postacute rehabilitation settings, (2) to identify methodologic and measurement challenges to conducting research, (3) to foster the exchange of ideas among researchers, policymakers, industry representatives, funding agency staff, consumers, and advocacy groups, and (4) to identify critical issues related to setting, delivery, payment, and effectiveness of rehabilitation services. Plenary presentation and state-of-the-science summaries were organized around 4 themes: (1) the need for improved measurement of key rehabilitation variables and methods to collect and analyze this information, (2) factors that influence access to postacute rehabilitation care, (3) similarities and differences in quality and quantity of services across PAC settings, and (4) effectiveness of postacute rehabilitation services. The full set of symposium articles, including recommendations for future research, appear in Archives of Physical Medicine and Rehabilitation.

Key Words: Health policy, Outcome and process assessment (health care), Outcomes research, Rehabilitation.

© 2007 American Physical Therapy Association and the American Congress of Rehabilitation Medicine and American Academy of Physical Medicine and Rehabilitation. By prior agreement, this document also appears in American Journal of Occupational Therapy, American Journal of Physical Medicine and Rehabilitation, American Journal of Speech-Language Pathology, Archives of Physical Medicine and Rehabilitation, Assistive Technology, Journal of Head Trauma Rehabilitation, Journal of Neuroengineering and Rehabilitation, Journal of Spinal Cord Medicine, OTJR: Occupation, Participation and Health, and Topics in Stroke Rehabilitation.

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