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Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.
Whitford, David L; Hickey, Anne; Horgan, Frances; O'Sullivan, Bernadette; McGee, Hannah; O'Neill, Desmond
<p>This article is also available from</p> <p>BACKGROUND: Stroke is a major cause of mortality and morbidity with potential for improved care and prevention through general practice. A national survey was undertaken to determine current resources and needs for optimal stroke prevention and care.</p> <p>METHODS: Postal survey of random sample of general practitioners undertaken (N = 204; 46% response). Topics included practice organisation, primary prevention, acute management, secondary prevention, long-term care and rehabilitation.</p> <p>RESULTS: Service organisation for both primary and secondary prevention was poor. Home management of acute stroke patients was used at some stage by 50% of responders, accounting for 7.3% of all stroke patients. Being in a structured cardiovascular management scheme, a training practice, a larger practice, or a practice employing a practice nurse were associated with structures and processes likely to support stroke prevention and care.</p> <p>CONCLUSION: General practices were not fulfilling their potential to provide stroke prevention and long-term management. Systems of structured stroke management in general practice are essential to comprehensive national programmes of stroke care.</p>
Keyword(s): Attitude of Health Personnel; Health Care Surveys; Health Services Accessibility; Home Care Services; Humans; Ireland; Long-Term Care; Needs Assessment; Physician's Practice Patterns; Physicians; Family; Primary Health Care; Stroke; Community Health and Preventive Medicine; Medicine and Health Sciences; Public Health
Publication Date:
Type: Journal article
Peer-Reviewed: Yes
Institution: Royal College of Surgeons in Ireland
Citation(s): Whitford DL, Hickey A, Horgan F, O'Sullivan B, McGee H, O'Neill D. Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. BMC Family Practice. 2009 Apr 29;10:27.
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First Indexed: 2015-07-31 15:35:54 Last Updated: 2018-02-13 07:21:26