My interpretation of the article is that more outcome meassures are needed to demonstrate cog rehab's necessity and impact.
Carmen From: "angela jones" <[EMAIL PROTECTED]> Reply-To: [email protected] To: [email protected] Subject: [OTlist] cog rehab Date: Mon, 29 Jan 2007 20:24:45 -0500 >This is in Rehab Today online magazine. Their description of >measurable progress is what the patient uses as a device for >ambulation. I'm frustrated that it isn't common sense to see >measurable goals through cognitive testing and outcomes in fuctional >skills. Is this in part due to OT not providing enough evidenced >based research? Angie Jones > >January 29, 2007 > >NEWS > >Health Insurers Do Not Cover Cognitive Rehabilitation >According to the Wall Street Journal, many brain injury patients who >experience problems with memory, mental processing, or behavior, do >not receive cognitive rehabilitation because their health insurers >do not cover the treatment. > >Preliminary studies indicate the effectiveness of cognitive >rehabilitation, but research into the treatment remains limited >because of a lack of funding by pharmaceutical companies. > >A committee established by the National Institutes of Health in 1998 >to evaluate cognitive rehabilitation concluded that the evidence >supports the use of certain cognitive and behavioral rehabilitation >strategies as part of a structured plan. In addition, an analysis >of 87 studies published in the Archives of Physical Medicine and >Rehabilitation in 2006 found substantial evidence to support >cognitive rehabilitation for people with traumatic brain injury. > >However, many health insurers maintain that research to support the >effectiveness of cognitive rehabilitation remains insufficient. In >2002, the BlueCross BlueShield Association Technology Evaluation >Center said, Available data are considered insufficient to make >conclusions on whether cognitive rehabilitation results in >beneficial health outcomes. WellPoint covers cognitive >rehabilitation for patients involved in accidents but not for those >who experience strokes. > >Thomas Watanabe, MD, professor of physical medicine and >rehabilitation at Drake Center University of Cincinnati says, Its >hard to demonstrate cognitive progress to the insurance company. If >a patient starts out in a wheelchair and then starts walking with a >cane, you can measure that progress. > >_________________________________________________________________ >Laugh, share and connect with Windows Live Messenger >http://clk.atdmt.com/MSN/go/msnnkwme0020000001msn/direct/01/?href=http://imagine-msn.com/messenger/launch80/default.aspx?locale=en-us > source=hmtagline > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >************************************************************************************** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************************** >From predictions to trailers, check out the MSN Entertainment Guide to the >Academy Awards® -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
