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Published on: September 30, 2020
Association of Intensive Cognitive Rehabilitation With Discharge to Home
Seigo Mitsutake1, Takumi Hirata1, Masahiro Akishita2
1Human Care Research Team, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan.
Summary
Intensive cognitive rehabilitation services in Japanese geriatric facilities are linked to higher return-to-home rates. Implementing these cognitive rehabilitation programs can improve patient outcomes and facility performance.
Area of Science:
- Geriatric Health Services
- Rehabilitation Medicine
- Health Services Research
Background:
- Geriatric health service facilities in Japan face challenges in maximizing patient return-to-home rates.
- The role of intensive cognitive rehabilitation services in improving functional outcomes for geriatric patients is under-explored.
Purpose of the Study:
- To investigate the association between the provision of intensive cognitive rehabilitation services and the rate of patients returning home from geriatric health service facilities in Japan.
Main Methods:
- A cross-sectional, nationwide facility-level survey was conducted among 527 Japanese geriatric health service facilities.
- Data on cognitive rehabilitation provision, return-to-home rates, and facility characteristics were collected and analyzed using regression models.
Main Results:
- Facilities providing cognitive rehabilitation demonstrated a significantly higher mean return-to-home rate (45.5%) compared to those not providing it (36.6%).
- After adjusting for covariates, cognitive rehabilitation was associated with a 5.41 percentage point increase in the return-to-home rate.
Conclusions:
- The findings suggest that cognitive rehabilitation is a valuable service for enhancing patient discharge to home from geriatric facilities.
- Long-term care systems should prioritize and facilitate the integration of cognitive rehabilitation services to improve geriatric patient outcomes.
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