Margaret G Stineman
Biographic Data
| ID | 248171 |
|---|---|
| NAME | Margaret G Stineman |
| GIVEN NAMES | Margaret G |
| FAMILY NAME | Stineman |
| SIGNATURE | STINEMAN M G |
| AFFILIATIONS | University of Pennsylvania |
| VERIFIED | No |
| TOTAL WORKS | 11 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 11 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2009 |
| H-INDEX | 1 |
Disability meanings according to patients and clinicians: Imagined recovery choice pathways
Possible Incremental Benefits of Specialized Rehabilitation Bed Units Among Veterans After Lower Extremity Amputation
BACKGROUND: Little is known about the effect of different types of inpatient rehabilitation on outcomes of patients undergoing lower extremity amputation for nontraumatic reasons. OBJECTIVE: To compare outcomes between patients who received inpatient rehabilitation on specific rehabilitation bed units (specialized) to patients who received rehabilitation on general medical/surgical units (generalized) during the acute postoperative period. METHOD…
Through the Clinician's Lens: Objective and Subjective Views of Disability
In this study, we used recovery preference exploration (RPE) to explore how clinicians practicing in an inpatient medical rehabilitation facility assign meaning to alternative paths of recovery from profound disability. Through the RPE procedure, 33 clinicians ranked preference for recovery from 18 imagined activity limitations and provided narrative explanations for their choices. We used mixed methods, including grounded theory, to identify the…
Exploring the Personal Reality of Disability and Recovery: A Tool for Empowering the Rehabilitation Process
People experiencing disability and chronic disease often feel powerless, relinquishing medical control to “more knowledgeable” professionals. This article presents qualitative and quantitative results from three individual patients experiencing an emerging procedure called Recovery Preference Exploration (RPE). To inspire greater patient involvement, self-direction, and individual choice, we instructed participants to create an imagined recovery …
Functional status measures for integrating medical and social care
The routine collection of this core set of functions could enhance decision-making at the client, professional, organizational, and policy levels encouraging cooperation among the medical and social service sectors when caring for people with disabilities
Challenges in Paying for Effective Stays
Stineman, Margaret G. MD; Kallen, Michael A. PhD, MPH; Thompson, Christy; Gage, Barbara PhD Author Information
Estimating Health-Related Quality of Life in Populations Through Cross-Sectional Surveys
BACKGROUND: Health-related quality of life (HRQL) is optimally reported from the individual vantage point; consequently, prevalence estimates from the National Health Interview Survey (NHIS) could be misleading, because approximately one third of the information is proxy-provided. OBJECTIVE: The objective of this study was to discern the degree to which disparities in the crude prevalence of reduced HRQL is explainable by case-mix differences bet…
Inpatient Rehabilitation After Stroke: A Comparison of Lengths of Stay and Outcomes in the Veterans Affairs and Non???Veterans Affairs Health Care System
BACKGROUND: Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. OBJECTIVE: The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after controlling for patient and medical care delivery differences. DESIGN: This analysis involved 60 VA inpatient rehabilitation units and 467 non-VA rehabi…
Measuring Casemix, Severity, and Complexity in Geriatric Patients Undergoing Rehabilitation
Geriatric rehabilitation is intended to maintain or restore function, maximize life satisfaction, enhance psychologic well-being, and maintain the social status of older persons. For clinical services to operate efficiently and equitably, payment must be based on rules that are clinically sound and thus reinforce the objectives of the services provided. This article presents a theoretical basis for casemix measurement in medical rehabilitation, c…
Classifying Rehabilitation Inpatients by Expected Functional Gain
OBJECTIVES: To create a more suitable payment system for medical rehabilitation, the authors developed a companion classification system to the original functional independence measure-function-related groups (FIM-FRGs), which classify patients having similar lengths of stay in a rehabilitation hospital or inpatient unit. The companion system presented here groups patients according to their gains in functional status during the rehabilitation st…
A Case-Mix Classification System for Medical Rehabilitation
Dissatisfaction with Medicare's current system of paying for rehabilitation care has led to proposals for a rehabilitation prospective payment system, but first a classification system for rehabilitation patients must be created. Data for 36,980 patients admitted to and discharged from 125 rehabilitation facilities between January 1, 1990, and April 19, 1991, were provided by the Uniform Data System for Medical Rehabilitation. Classification rule…
Through the Clinician's Lens: Objective and Subjective Views of Disability
In this study, we used recovery preference exploration (RPE) to explore how clinicians practicing in an inpatient medical rehabilitation facility assign meaning to alternative paths of recovery from profound disability. Through the RPE procedure, 33 clinicians ranked preference for recovery from 18 imagined activity limitations and provided narrative explanations for their choices. We used mixed methods, including grounded theory, to identify the…
A Case-Mix Classification System for Medical Rehabilitation
Dissatisfaction with Medicare's current system of paying for rehabilitation care has led to proposals for a rehabilitation prospective payment system, but first a classification system for rehabilitation patients must be created. Data for 36,980 patients admitted to and discharged from 125 rehabilitation facilities between January 1, 1990, and April 19, 1991, were provided by the Uniform Data System for Medical Rehabilitation. Classification rule…
Measuring Casemix, Severity, and Complexity in Geriatric Patients Undergoing Rehabilitation
Geriatric rehabilitation is intended to maintain or restore function, maximize life satisfaction, enhance psychologic well-being, and maintain the social status of older persons. For clinical services to operate efficiently and equitably, payment must be based on rules that are clinically sound and thus reinforce the objectives of the services provided. This article presents a theoretical basis for casemix measurement in medical rehabilitation, c…
Classifying Rehabilitation Inpatients by Expected Functional Gain
OBJECTIVES: To create a more suitable payment system for medical rehabilitation, the authors developed a companion classification system to the original functional independence measure-function-related groups (FIM-FRGs), which classify patients having similar lengths of stay in a rehabilitation hospital or inpatient unit. The companion system presented here groups patients according to their gains in functional status during the rehabilitation st…
Inpatient Rehabilitation After Stroke: A Comparison of Lengths of Stay and Outcomes in the Veterans Affairs and Non???Veterans Affairs Health Care System
BACKGROUND: Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. OBJECTIVE: The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after controlling for patient and medical care delivery differences. DESIGN: This analysis involved 60 VA inpatient rehabilitation units and 467 non-VA rehabi…
Estimating Health-Related Quality of Life in Populations Through Cross-Sectional Surveys
BACKGROUND: Health-related quality of life (HRQL) is optimally reported from the individual vantage point; consequently, prevalence estimates from the National Health Interview Survey (NHIS) could be misleading, because approximately one third of the information is proxy-provided. OBJECTIVE: The objective of this study was to discern the degree to which disparities in the crude prevalence of reduced HRQL is explainable by case-mix differences bet…
Functional status measures for integrating medical and social care
The routine collection of this core set of functions could enhance decision-making at the client, professional, organizational, and policy levels encouraging cooperation among the medical and social service sectors when caring for people with disabilities
Challenges in Paying for Effective Stays
Stineman, Margaret G. MD; Kallen, Michael A. PhD, MPH; Thompson, Christy; Gage, Barbara PhD Author Information
Exploring the Personal Reality of Disability and Recovery: A Tool for Empowering the Rehabilitation Process
People experiencing disability and chronic disease often feel powerless, relinquishing medical control to “more knowledgeable” professionals. This article presents qualitative and quantitative results from three individual patients experiencing an emerging procedure called Recovery Preference Exploration (RPE). To inspire greater patient involvement, self-direction, and individual choice, we instructed participants to create an imagined recovery …
Disability meanings according to patients and clinicians: Imagined recovery choice pathways
Possible Incremental Benefits of Specialized Rehabilitation Bed Units Among Veterans After Lower Extremity Amputation
BACKGROUND: Little is known about the effect of different types of inpatient rehabilitation on outcomes of patients undergoing lower extremity amputation for nontraumatic reasons. OBJECTIVE: To compare outcomes between patients who received inpatient rehabilitation on specific rehabilitation bed units (specialized) to patients who received rehabilitation on general medical/surgical units (generalized) during the acute postoperative period. METHOD…
Through the Clinician's Lens: Objective and Subjective Views of Disability
In this study, we used recovery preference exploration (RPE) to explore how clinicians practicing in an inpatient medical rehabilitation facility assign meaning to alternative paths of recovery from profound disability. Through the RPE procedure, 33 clinicians ranked preference for recovery from 18 imagined activity limitations and provided narrative explanations for their choices. We used mixed methods, including grounded theory, to identify the…
Medicine (7 works) · Computer Science (5 works) · Psychology (5 works) · Rehabilitation (5 works) · Gerontology (4 works) · Nursing (4 works) · Physical therapy (4 works) · Rehabilitation (4 works) · Cerebral Palsy and Movement Disorders (3 works) · Gerontology (3 works)