Although geriatric rehabilitation (GR) is beneficial for restoration of activities and participation after hospitalization of vulnerable older persons, little is known about the optimal organization of care of these postacute facilities. This study examines the relationship of patient volume and service concentration with successful GR (short length of stay and discharge home) in skilled nursing facilities (SNFs).A national multicenter retrospective cohort study.All patients indicated for GR in a Dutch SNF.Nurses filled out digital registration forms from patient records. Patients were studied in 3 predefined diagnostic groups: total joint replacement, traumatic injuries, and stroke. Facility characteristics were obtained by structured telephone interviews with facility managers. Volume was based on the number of discharges in a 3-month period and categorized in low-, medium-, and high-volume facilities. Concentration was defined at the organizational level in which the population consists of 80

作者：Marije S, Holstege；Ineke G, Zekveld；Monique A A, Caljouw；Peter Bob, Peerenboom；Romke, van Balen；Jacobijn, Gussekloo；Wilco P, Achterberg

来源：Journal of the American Medical Directors Association 2013 年 14卷 10期