PDF(Pubmed)
Abstract：
Medical security support for rehabilitation therapy in China is different from that in other countries. We investigated whether the discharge plan to continue rehabilitation therapy in tertiary hospitals for patients after traumatic spinal cord injury (TSCI) was influenced by payment sources or other conditions. This was a cross-sectional, observational study. Information was collected on the general condition, caregiver, types of payment sources for continued rehabilitation, American Spinal Injury Association Impairment Scale (AIS) scores, and discharge plans. In total, 135 patients with TSCI (107 male, mean age 41.00 ± 13.73 years, mean spinal cord injury duration 238.43 ± 345.54 days) were enrolled. Medical insurance (43%) and out-of-pocket payments (27.4%) were the primary payment sources. Although most patients were beyond the acute phase, 40% continued rehabilitation therapy at other tertiary hospitals. The caregiver, payment sources, injury level, AIS level, and complete urinary tract infection (UTI) were different due to discharge plans (p > .05). Patients seemingly consider a higher AIS level and co-UTI as the requirement for tertiary hospital therapy. In non-medical insurance payment source patients, the discharge plan also differed due to the AIS level and co-UTI (p > .05). However, in medical insurance patients, the discharge plan differed only in terms of TSCI duration (p > .05). The restricted duration of medical coverage restricted the continuation of rehabilitation therapy and influenced the discharge plan of most patients with TSCI.
摘要：
中国对康复治疗的医疗保障支持与其他国家不同。我们调查了在三级医院继续对创伤性脊髓损伤（TSCI）患者进行康复治疗的出院计划是否受到付款来源或其他条件的影响。这是一个横截面，观察性研究。收集了一般情况的信息，看护人,持续康复的付款来源类型，美国脊髓损伤协会损伤量表(AIS)评分，和出院计划。总的来说,135例TSCI患者（107例男性，平均年龄41.00±13.73岁，平均脊髓损伤持续时间238.43±345.54天）。医疗保险（43％）和自付费用（27.4％）是主要的支付来源。尽管大多数患者已经超过急性期，40%的人继续在其他三级医院接受康复治疗。看护者,付款来源，损伤水平,AIS级别,和完全尿路感染（UTI）由于出院计划而有所不同（p>0.05）。患者似乎认为较高的AIS水平和共同UTI是三级医院治疗的要求。在非医疗保险支付来源的患者中，由于AIS水平和联合UTI，出院计划也有所不同(p>.05)。然而,在医疗保险患者中，出院计划仅在TSCI持续时间方面有所不同（p>.05）。医疗覆盖时间的限制限制了康复治疗的继续，并影响了大多数TSCI患者的出院计划。
