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)


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


Oct 28, 1997·Stroke; a Journal of Cerebral Circulation·R BonitaJ B Broad
Aug 1, 1998·British Dental Journal·C Lister
Jan 5, 2002·Clinical Rehabilitation·P Enderby, D T Wade
Oct 24, 2002·Clinical Rehabilitation·Hanne Elkjaer AndersenBirgitte Hysse Forchhammer
Jan 22, 2003·The Cochrane Database of Systematic Reviews·UNKNOWN Outpatient Service Trialists
Feb 8, 2003·Stroke; a Journal of Cerebral Circulation·Josephine TengSusan Scott
Jul 10, 2003·Disability and Rehabilitation·Derick T Wade
Sep 19, 2003·Topics in Stroke Rehabilitation·Sanjit K BhogalMark R Speechley
Jan 15, 2004·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Kathrin Boerner
Mar 2, 2005·Circulation·Lee H SchwammUNKNOWN American Stroke Association's Task Force on the Development of Stroke Systems
Apr 23, 2005·The Cochrane Database of Systematic Reviews·UNKNOWN Early Supported Discharge Trialists
Jul 9, 2005·Stroke; a Journal of Cerebral Circulation·Jeroen N StruijsGeertrudis A M van den Bos
Mar 14, 2007·Journal of Rehabilitation Medicine·Peter LanghorneUNKNOWN Early Supported Discharge Trialists
Feb 5, 2008·Irish Journal of Medical Science·C TobinC J Cunningham
Feb 7, 2008·The Cochrane Database of Systematic Reviews·D Bereczki, I Fekete
Mar 4, 2008·BMJ : British Medical Journal·Desmond O'NeillHannah McGee
Apr 22, 2008·The Cochrane Database of Systematic Reviews·N A AzizM F Walker
Oct 15, 2010·New Solutions : a Journal of Environmental and Occupational Health Policy : NS· American Public Health Association
Nov 19, 2010·International Journal of Geriatric Psychiatry·C DonnellanD O'Neill

❮ Previous
Next ❯


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

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Related Papers

Journal of Multidisciplinary Healthcare
Julie A LukerKaren A Grimmer-Somers
British Journal of Community Nursing
Triona Burke, Catherine O'Neill
Topics in Health Information Management
J MacDougall, B M Doran
© 2021 Meta ULC. All rights reserved