Summary of Talk:
The focus of this rehabilitative care is to promote mobilization and the achievement of functional goals. Rehabilitation care after an acute hospitalization, injury or surgery is most commonly provided in rehabilitation facilities, in the home, and in community-based clinics. However, gaps exist in the ability to support all patients in need due to a global shortage of trained therapists, how few therapists are available in rural areas, and the limited insurance coverage for rehabilitation services compared the level of care needed. These gaps make it necessary to develop otåçher effective, low-cost and accessible options to help patients regain function and improve other patient-centered outcomes. A growing body of scientific literature exists with respect to leveraging technology in support of various approaches to tele-rehabilitation. Remote monitoring, virtual training, and expert guidance addresses issues with geographic access. This presentation will focus on both the opportunities of virtual rehabilitation globally and also the operational and clinical challenges that remain as we plan for scaling-up this important innovation.
Dr. Bettger’s research is dedicated to establishing real world evidence aimed to improve health care quality and policies that reduce the burden of disease and disability. Dr. Bettger received her BA from the University of Western Ontario, Canada and her MS from the University of Wisconsin–LaCrosse where she studied community reintegration for stroke and brain-injured patients transitioning from hospital to home. Her doctoral training in Rehabilitation Sciences, completed at Boston University, concluded with an investigation of patterns of functional recovery and factors affecting outcomes in patients transitioning home following acute rehabilitation. While working on her doctorate, she also worked in state government as the director of the Paul Coverdell National Acute Stroke Registry. Dr. Bettger completed post-doctoral training at the University of Pennsylvania with a NIH NRSA research fellowship in neurorehabilitation, a research fellowship at the NewCourtland Center for Transitions and Health, and a Switzer Fellowship funded by the National Institute on Disability and Rehabilitation Research to study the role of the environment on functional outcomes. She completed additional research training at Duke as a mentored scholar in comparative effectiveness research funded by AHRQ. She is currently an Associate Professor and the Director of Health Policy and Implementation Science for Duke's Department of Orthopaedics. She has a secondary appointment in the Duke University School of Nursing, is affiliate faculty with the Duke Clinical Research Institute (DCRI) and Duke Global Health Institute (DGHI), a Senior Fellow of the Duke Center for the Study of Aging and Human Development, and is a Fellow of the American Heart Association.