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Biomedical subjects

C V Granger

Publications and source records attributed to C V Granger.

At least 109 records · Page 6Linked to original sources
PubMed1976

Functional status measurement and medical rehabilitation outcomes.

An on-stream method for describing patients' functional abilities is used to develop analyses of medical rehabilitation outcomes. Outcomes are the changes in status between admission, discharge and follow-up. Standardized observation and reporting make it possible to compare one date with another, one case with another or one agency or facility with another to determine program characteristics, effectiveness and efficiency.

Activities of Daily Living↗
PubMedDate not supplied

Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly. A randomized controlled trial.

CONTEXT: Home environmental interventions (EIs) and assistive technology (AT) devices have the potential to increase independence for community-based frail elderly persons, but their effectiveness has not been demonstrated. OBJECTIVE: To evaluate a system of AT-EI service provision designed to promote independence and reduce health care costs for physically frail elderly persons. DESIGN: Randomized controlled trial. SETTING AND PARTICIPANTS: A total of 104 home-based frail elderly persons living in western New York were assigned to 1 of 2 groups (52 treatment, 52 control). INTERVENTION: All participants underwent a comprehensive functional assessment and evaluation of their home environment. Participants in the treatment group received AT and EIs based on the results of the evaluation. The control group received "usual care services." MAIN OUTCOME MEASURES: Functional status as measured by the Functional Independence Measure (FIM) and the Craig Handicap Assessment and Reporting Technique; pain as measured by the Functional Status Instrument; and health care costs including the costs. RESULTS: After the 18-month intervention period, the treatment groups showed significant decline for FIM total score and FIM motor score, but there was significantly more decline for the control group. Functional Status Instrument pain scores increased significantly more for the control group. In a comparison of health care costs, the treatment group expended more than the control group for AT and EIs. The control group required significantly more expenditures for institutional care. There was no significant difference in total in-home personnel costs, although there was a large effect size. The control group had significantly greater expenditures for nurse visits and case manager visits. CONCLUSION: The frail elderly persons in this trial experienced functional decline over time. Results indicate rate of decline can be slowed, and institutional and certain in-home personnel costs reduced through a systematic approach to providing AT and EIs.

Activities of Daily Living↗
PubMedDate not supplied

Outcomes research in medical rehabilitation. A primer and introduction to a series.

This article presents basic findings, concepts and methods in medical outcomes research. Epidemiologic outcomes research begins with the daily life of patients or populations and searches for antecedents. Clinical outcomes research begins with an intervention and examines effects. Both are needed. Issues and methodologies in medical rehabilitation outcomes research are examined, and topics for the forth-coming series are sketched. Medical rehabilitation can make substantial advances in understanding its effectiveness in the near future if it will undertake the needed comparative outcomes research.

Health Policy↗