Community-based post-stroke service provision and challenges: a national survey of managers and inter-disciplinary healthcare staff in Ireland

BMC Health Services Research
Anne HickeySteering Committee of the Irish National Audit of Stroke Care (INASC)

Abstract

The extent of stroke-related disability typically becomes most apparent after patient discharge to the community. As part of the Irish National Audit of Stroke Care (INASC), a national survey of community-based allied health professionals and public health nurses was conducted. The aim was to document the challenges to service availability for patients with stroke in the community and to identify priorities for service improvement. The study was a cross-sectional tailored interview survey with key managerial and service delivery staff. As comprehensive listings of community-based health professionals involved in stroke care were not available, a cascade approach to information gathering was adopted. Representative regional managers for services incorporating stroke care (N = 7) and disciplinary allied health professional and public health nurse managers (N = 25) were interviewed (94% response rate). Results indicated a lack of formal, structured community-based services for stroke, with no designated clinical posts for stroke care across disciplines nationally. There was significant regional variation in availability of allied health professionals. Considerable inequity was identified in patient access to stroke services, with ...Continue Reading

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May 12, 2016·British Journal of Hospital Medicine·Robert Briggs, Desmond O'Neill
Oct 7, 2014·British Journal of Community Nursing·Sinéad HanafinCatriona Barry
Nov 17, 2017·Health & Social Care in the Community·Marie Condon, Marie Guidon

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