Patient and service factors associated with referral and admission to inpatient rehabilitation after the acute phase of stroke in Australia and Norway
| Autor: | Elizabeth A Lynch, Ole Morten Rønning, Leonid Churilov, Angela Susan Labberton, Bente Thommessen, Dominique A Cadilhac, Mathias Barra |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Occupational therapy 030506 rehabilitation medicine.medical_specialty Patients Referral medicine.medical_treatment Health administration 03 medical and health sciences 0302 clinical medicine Modified Rankin Scale Health care medicine Humans Stroke Aged Rehabilitation Norway business.industry lcsh:Public aspects of medicine Health Policy Australia Stroke Rehabilitation Health services research lcsh:RA1-1270 Referral and consultation medicine.disease Health services 3. Good health Hospitalization Emergency medicine Female Health Services Research 0305 other medical science business 030217 neurology & neurosurgery Research Article |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 19, Iss 1, Pp 1-10 (2019) |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-019-4713-x |
| Popis: | Background Unequal access to inpatient rehabilitation after stroke has been reported. We sought to identify and compare patient and service factors associated with referral and admission to an inpatient rehabilitation facility (IRF) after acute hospital care for stroke in two countries with publicly-funded healthcare. Methods We compared two cohorts of stroke patients admitted consecutively to eight acute public hospitals in Australia in 2013–2014 (n = 553), and to one large university hospital in Norway in 2012–2013 (n = 723). Outcomes were: referral to an IRF; admission to an IRF if referred. Logistic regression models were used to identify and compare factors associated with each outcome. Results Participants were similar in both cohorts: mean age 73 years, 40–44% female, 12–13% intracerebral haemorrhage, ~ 77% mild stroke (National Institutes of Health Stroke Scale Conclusions Similar factors were associated with referral to inpatient rehabilitation after acute stroke in both countries, despite differing service provision and access rates. Assuming it is not feasible to provide inpatient rehabilitation to all patients following stroke, the criteria for the selection of candidates need to be understood to address unwanted biases. |
| Databáze: | OpenAIRE |
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