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Measuring case complexity in neurological rehabilitation
  1. Derick Wade
  1. Oxford Centre for Enablement, Windmill Road, Oxford, UK
  1. Correspondence to Professor Derick Wade, Oxford Centre for Enablement, Windmill Road, Oxford OX3 7LD, UK; derick.wade{at}

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Healthcare systems need a fair way of measuring the resources a patient needs for specific services, so that the service provider can obtain fair payment, and the payer can obtain a fair return on the payment. This is challenging for several reasons: need (the ability to benefit) is difficult to determine; the specific inputs required to deliver the benefit are imprecise; and the outcome will be influenced by many factors, both patient-related and contextual. In rehabilitation, the situation is particularly difficult because there are so many variables to take into account. Turner-Stokes et al (see page 146) have developed a measure …

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