Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.

Hdl Handle:
http://hdl.handle.net/10147/94727
Title:
Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.
Authors:
Whitford, David L; Hickey, Anne; Horgan, Frances; O'Sullivan, Bernadette; McGee, Hannah; O'Neill, Desmond
Affiliation:
Department of Family & Community Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, PO Box 15503, Adliya, Kingdom of Bahrain. dwhitford@rcsi-mub.com
Citation:
Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. 2009, 10:27 BMC Fam Pract
Journal:
BMC family practice
Issue Date:
2009
URI:
http://hdl.handle.net/10147/94727
DOI:
10.1186/1471-2296-10-27
PubMed ID:
19402908
Abstract:
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. 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. 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. 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.
Language:
en
MeSH:
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
ISSN:
1471-2296

Full metadata record

DC FieldValue Language
dc.contributor.authorWhitford, David Len
dc.contributor.authorHickey, Anneen
dc.contributor.authorHorgan, Francesen
dc.contributor.authorO'Sullivan, Bernadetteen
dc.contributor.authorMcGee, Hannahen
dc.contributor.authorO'Neill, Desmonden
dc.date.accessioned2010-03-23T16:35:15Z-
dc.date.available2010-03-23T16:35:15Z-
dc.date.issued2009-
dc.identifier.citationIs primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. 2009, 10:27 BMC Fam Practen
dc.identifier.issn1471-2296-
dc.identifier.pmid19402908-
dc.identifier.doi10.1186/1471-2296-10-27-
dc.identifier.urihttp://hdl.handle.net/10147/94727-
dc.description.abstractBACKGROUND: 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. 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. 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. 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.-
dc.language.isoenen
dc.subject.meshAttitude of Health Personnel-
dc.subject.meshHealth Care Surveys-
dc.subject.meshHealth Services Accessibility-
dc.subject.meshHome Care Services-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshLong-Term Care-
dc.subject.meshNeeds Assessment-
dc.subject.meshPhysician's Practice Patterns-
dc.subject.meshPhysicians, Family-
dc.subject.meshPrimary Health Care-
dc.subject.meshStroke-
dc.titleIs primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.en
dc.contributor.departmentDepartment of Family & Community Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, PO Box 15503, Adliya, Kingdom of Bahrain. dwhitford@rcsi-mub.comen
dc.identifier.journalBMC family practiceen

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.