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PHYS THER
Vol. 86, No. 2, February 2006, pp. 302-303

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Review of Books, Computer Software, and Videotapes

Clifton DW Jr. St Louis, MO 63146, Elsevier Saunders, 2005, hardcover, 459 pp, illus, ISBN: 0-7216-8474-2, $54.95.

Physical Rehabilitation's Role in Disability Management: Unique Perspectives for Success



    Introduction
 
The author bases the premise of this book on the notion that "if rehabilitation is the unfinished business of medicine, then disability management is the unfinished business of rehabilitation." This work addresses the broader issues related to disability management that cross disciplines and various stakeholder groups; it is not a compendium of rehabilitation treatment approaches. The book is replete with basic information about disability and disability management principles, the evolution of disability management as well as challenges for the future, application of theoretical approaches, and many concrete examples and case studies of the principles discussed. The author challenges the reader to think "outside the box" when it comes to individual, discipline-specific approaches to disability management and to consider a paradigm shift in viewing many of the topics.

There are 7 sections in this book. Section I provides an extensive and thorough overview of the various disablement models and considers how different stakeholders view disability management. It also establishes the effects and consequences of disability by identifying associated costs and by encouraging the reader to compare the disability costs of various demographic groups. Section II defines and explores disability management principles and practices. Disability management in long-term care, including in-depth discussions about Medicare and Medicaid as well as workers' compensation, are extensively presented. To help the discipline-specific health care provider better understand the issues confronting insurers, the patient/client, and the employer, a chapter covers disability management from the insurer's perspective.

Section III addresses disability assessment, with a description of how various stakeholders (eg, Social Security Administration, workers' compensation carriers, motor vehicle insurers, group health carriers, employers) view and address disability issues, and it also has a chapter describing functional capability evaluations. An excellent chapter on utilization review and management promotes the benefits of peer and utilization review. A descriptive study of case management concludes this section.

Section IV, on health information management, thoroughly describes information technology and quality assurance topics. Among its other strengths, this section contains a very specific guide on how to locate sources of disability-related data and provides information on topics such as search engines, subject directories, and government sources of data. Section V addresses the ethical, legal, regulatory, and legislative issues related to fraud and abuse prevention. An excellent chapter on federal reimbursement-focused statutes reviews pertinent legislative issues relative to Medicare, Medicaid, Medigap, and the Health Insurance Portability and Accountability Act of 1996, as well as many other related laws for rehabilitation providers.

Section VI on trends and issues in health care finance and delivery challenges the reader to consider new paradigms in the delivery of health care and disability management. The author prepares the reader for considering paradigm shifts by discussing the nature of change itself and other factors related to transitions. A very thought-provoking section on paradigm shifts in health care delivery carries the reader out of the proverbial discipline-specific box to look at the bigger picture of health care delivery and disability management. Other valuable topics in this section cover chronicity and the future effect on rehabilitation, a review of the evolution of managed care, a challenge to study and consider complementary and alternative health care methods, and an exploration of future paradigm shifts beyond the current managed care environment.

The last section of this book, titled "From Clinician to Consultants," provides a sampling of the profiles of organizations that address various disability management areas. The chapter on consulting opportunities for rehabilitation providers is by far one of the best explorations of this topic.

This book is well organized and well written. Figures and tables emphasize important ideas in the text graphically. Key points and operational definitions used in each chapter are provided, as are extensive references along with additional suggested readings. The numerous appendixes offer a wealth of additional information. The text's usefulness extends beyond that for professional discipline-specific groups such as physical therapists; it addresses issues that are encountered by myriad stakeholder groups engaged in service for persons with disabilities. Many of the chapters could be easily used as a textbook for professional and postprofessional physical therapist students, and the entire text is most appropriate for consideration by clinical and academic physical therapists. Its only shortcoming is that there are a few time-sensitive topics or information (eg, laws and listings of resource organizations) but this could easily be addressed in producing periodic updated editions of the text to ensure its currency.

Paulette Cebulski

University of Michigan-Flint
Flint, Mich


    Footnotes
 
Dr Cebulski is Director of the Physical Therapy Department. She teaches in the areas of physical therapist practice management, professional orientation, and current issues in physical therapist practice


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This Article
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