The Value and Role of the Inpatient Rehabilitation Facility: Association of Academic Physiatrists Position Statement
Danielle Perret1, John Whyte, John Melvin
1From the Departments of Physical Medicine and Rehabilitation, Neurological Surgery, and Anesthesiology and Perioperative Care, University of California Irvine, Orange, California (DP); Moss Rehabilitation Research Institute, Albert Einstein Healthcare Network, Elkins Park, Pennsylvania (JW); Department of Rehabilitation Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (JM); Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, Maryland (PC); Association of Academic Physiatrists, Owings Mills, Maryland (TK); Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas (BN); Departments of Physical Medicine and Rehabilitation, Eastern Virginia Medical School, Norfolk, Virginia (BR-A); and Department of Physical Medicine and Rehabilitation, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania (SSHW).
Abstract:
Although healthcare is always changing, the inpatient rehabilitation facility has indispensable and enduring roles in patient care, medical education, and research. For patients with complex medical and functional limitations, inpatient rehabilitation facility-level care fosters recovery and community reintegration and plays a strategic role in optimizing healthcare transitions from acute and to postacute settings. It is an incomparable and distinct zone for interprofessional education: the healthcare system is dependent on the inpatient rehabilitation facility as the epicenter for instruction to healthcare professionals on how to care for patients with complex rehabilitation needs. As healthcare evolves, patients' increasing medical complexity requires ongoing research focused on patients' evolving healthcare needs. The inpatient rehabilitation facility alone offers the requisite infrastructure to support such discovery. In this Association of Academic Physiatrists Position Paper, we provide a fresh perspective on the value proposition of the inpatient rehabilitation facility and advocate for this unique clinical environment as a critical component of contemporary healthcare.
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