BACKGROUND The importance of long term rehabilitation for people with stroke is increasingly evident, yet it is not known whether such services can be materialised in countries with limited community resources. In this study, we explored the perception of rehabilitation professionals and people with stroke towards long term stroke rehabilitation services and potential approaches to enable provi...

BACKGROUND an organized, goal-defined and time-specified plan of management as envisaged by the integrated care pathway approach can achieve quality outcomes at lower cost. Integrated care pathways may have applications to stroke management because diagnosis is well defined, complex interdisciplinary inputs are required and there is good evidence on best practice. METHOD we reviewed medical, ...

To promote health services research in stroke rehabilitation, we gathered information about stroke rehabilitation structures, processes, and outcomes (SPO), using extant databases and the Donabedian theoretical model of health services evaluation. We found that, in the United States, over S3.6 billion was spent by third-party payers in 1992 on rehabilitation, including stroke. Total disability-...

background previous research supports the claim that managers are vital players in the implementation of clinical practice guidelines (cpgs), yet little is known about interventions aiming to develop managers’ leadership in facilitating implementation. in this pilot study, process evaluation was employed to study the feasibility and usefulness of a leadership intervention by exploring the inter...

The primary goals of stroke rehabilitation are to encourage and foster functional improvement and neurological recovery. Organised stroke care, processes of care, early timing of rehabilitation and high intensity of rehabilitation therapies are important factors which have been identified as promoting better overall outcomes for individuals with stroke. This chapter examines the evidence for th...

OBJECTIVE We investigated the specific type of occupational therapy intervention used by occupational therapists during inpatient stroke rehabilitation in one midwestern U.S. hospital to determine the frequency of prefunctional versus functional activity use. METHOD A retrospective chart analysis was conducted of clients who received inpatient stroke rehabilitation between January 2003 and Ju...

BACKGROUND AND OBJECTIVE To a large extent, people who have suffered a stroke report unmet needs for rehabilitation. The purpose of this study was to explore aspects of rehabilitation provision that potentially contribute to self-reported met needs for rehabilitation 12 months after stroke with consideration also to severity of stroke. METHODS The participants (n = 173) received care at the s...