Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury

Acquired brain injury (ABI) is a major global public health problem and source of disability. A major contributor to disability after severe ABI is limited access to multidisciplinary rehabilitation, despite evidence of sustained functional gains, improved quality of life, increased return-to-work,...

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Autores principales:	Laura S. Lorenz, Michael Doonan
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	health policy cost-effectiveness shared decision-making societal model of health lifetime savings traumatic brain injury Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/56498f48e6bc45a59b78ea77b02c3d1e
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spelling	oai:doaj.org-article:56498f48e6bc45a59b78ea77b02c3d1e2021-12-01T22:50:11ZValue and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury2296-256510.3389/fpubh.2021.753447https://doaj.org/article/56498f48e6bc45a59b78ea77b02c3d1e2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.753447/fullhttps://doaj.org/toc/2296-2565Acquired brain injury (ABI) is a major global public health problem and source of disability. A major contributor to disability after severe ABI is limited access to multidisciplinary rehabilitation, despite evidence of sustained functional gains, improved quality of life, increased return-to-work, and reduced need for long-term care. A societal model of value in rehabilitation matches patient and family expectations of outcomes and system expectations of value for money. A policy analysis of seven studies (2009–2019) exploring outcomes and cost-savings from access to multi-disciplinary rehabilitation identified average lifetime savings of $1.50M per person, with costs recouped within 18 months.Recommendations: Increase access to multi-disciplinary rehabilitation following severe ABI; strengthen prevention focus; increase access to case management; support return-to-work; and systematically collect outcome and cost data.Laura S. LorenzMichael DoonanFrontiers Media S.A.articlehealth policycost-effectivenessshared decision-makingsocietal model of healthlifetime savingstraumatic brain injuryPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health policy cost-effectiveness shared decision-making societal model of health lifetime savings traumatic brain injury Public aspects of medicine RA1-1270
spellingShingle	health policy cost-effectiveness shared decision-making societal model of health lifetime savings traumatic brain injury Public aspects of medicine RA1-1270 Laura S. Lorenz Michael Doonan Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury
description	Acquired brain injury (ABI) is a major global public health problem and source of disability. A major contributor to disability after severe ABI is limited access to multidisciplinary rehabilitation, despite evidence of sustained functional gains, improved quality of life, increased return-to-work, and reduced need for long-term care. A societal model of value in rehabilitation matches patient and family expectations of outcomes and system expectations of value for money. A policy analysis of seven studies (2009–2019) exploring outcomes and cost-savings from access to multi-disciplinary rehabilitation identified average lifetime savings of $1.50M per person, with costs recouped within 18 months.Recommendations: Increase access to multi-disciplinary rehabilitation following severe ABI; strengthen prevention focus; increase access to case management; support return-to-work; and systematically collect outcome and cost data.
format	article
author	Laura S. Lorenz Michael Doonan
author_facet	Laura S. Lorenz Michael Doonan
author_sort	Laura S. Lorenz
title	Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury
title_short	Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury
title_full	Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury
title_fullStr	Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury
title_full_unstemmed	Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury
title_sort	value and cost savings from access to multi-disciplinary rehabilitation services after severe acquired brain injury
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/56498f48e6bc45a59b78ea77b02c3d1e
work_keys_str_mv	AT lauraslorenz valueandcostsavingsfromaccesstomultidisciplinaryrehabilitationservicesaftersevereacquiredbraininjury AT michaeldoonan valueandcostsavingsfromaccesstomultidisciplinaryrehabilitationservicesaftersevereacquiredbraininjury
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Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury

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