Experiences of Multidisciplinary Working: Perspectives from the Wessex Ghana Stroke Partnership.

Autor:	Akpalu A; University of Ghana Medical School, College of Health Sciences, University of Ghana, Ghana.; Stroke Unit, Korle Bu Teaching Hospital, Ghana., Sykes L; Hampshire Hospitals NHS Trust, Royal Hampshire County Hospital, Winchester, UK., Nkromah K; Stroke Unit, Korle Bu Teaching Hospital, Ghana., Attoh J; Stroke Unit, Korle Bu Teaching Hospital, Ghana., Osei-Yeboah C; Stroke Unit, Korle Bu Teaching Hospital, Ghana., Johnson L; University Hospitals Dorset NHS Foundation Trust, Bournemouth, UK., Amponsah C; Stroke Unit, Korle Bu Teaching Hospital, Ghana.; University of Ghana School of Biomedical and Allied Health Sciences, Department of Speech and Language Therapy, Ghana., Laryea F; Stroke Unit, Korle Bu Teaching Hospital, Ghana., Anarfi O; Stroke Unit, Korle Bu Teaching Hospital, Ghana.; University of Health and Allied Sciences School of Medicine, Department of Psychological Medicine and Mental Health, Ghana., Shaw A; University of Winchester, Winchester, UK., Cullen L; NHS England Southeast, Southampton, UK., Easton S; Hampshire Hospitals NHS Trust, Royal Hampshire County Hospital, Winchester, UK., Fullbrook-Scanlon C; University of West of England, Bristol, UK., Gordon C; University of Central Lancashire, Faculty of Health and Social Care, Preston, UK., Spice C; Queen Alexandra Hospital, Southwick Hill, Portsmouth, UK.
Jazyk:	angličtina
Zdroj:	West African journal of medicine [West Afr J Med] 2022 Jun 24; Vol. 39 (6), pp. 641-645.
Abstrakt:	Introduction: Substantial gaps remain in our understanding of stroke in Africa as well as in stroke care, practice and policy on the continent. The effective organization of preventative, therapeutic and rehabilitative stroke services continue to be challenging in many African countries. Methodology: In this article we define the nature, function and benefits of effective multidisciplinary team (MDT) working. The experiences and perspectives of members of the MDT were collated by focus group discussions as well as individual and country specific contributions. Results: The experiences and perspectives of multidisciplinary team members from the United Kingdom and Ghana implementing these practices at the first stroke unit in Korle Bu Teaching Hospital, Accra, with a transparent discussion of successes and challenges faced throughout development of the service, is presented. MDT working has improved outcomes for patients and families who use the services, including encouraging better shared treatment planning and compliance. More stroke rehabilitation services are provided than previously, including greater self-management education and better secondary prevention care. Conclusion: It is hoped that this article will provide an inspirational model for others working to provide stroke care in low-resource settings in Africa and worldwide. Competing Interests: The Authors declare that no competing interest exists. (Copyright © 2022 by West African Journal of Medicine.)
Databáze:	MEDLINE
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