Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.
AuthorsWhitford, David L
AffiliationDepartment of Family & Community Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, PO Box 15503, Adliya, Kingdom of Bahrain. firstname.lastname@example.org
MeSHAttitude of Health Personnel
Health Care Surveys
Health Services Accessibility
Home Care Services
Physician's Practice Patterns
Primary Health Care
MetadataShow full item record
CitationIs primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. 2009, 10:27 BMC Fam Pract
JournalBMC family practice
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.
- From prevention to nursing home care: a comprehensive national audit of stroke care.
- Authors: Horgan F, McGee H, Hickey A, Whitford DL, Murphy S, Royston M, Cowman S, Shelley E, Conroy RM, Wiley M, O'Neill D
- Issue date: 2011
- Limited options: a report on GP access to services.
- Authors: Ní Shúilleabháin A, O'Kelly M, O'Kelly F, O'Dowd T
- Issue date: 2007 Mar
- Practice variation in long-term secondary stroke prevention in The Netherlands.
- Authors: van Schaik SM, de Vries BS, Weinstein HC, Visser MC, Van den Berg-Vos RM
- Issue date: 2015 Mar
- Primary care staff's views and experiences related to routinely advising patients about physical activity. A questionnaire survey.
- Authors: Douglas F, Torrance N, van Teijlingen E, Meloni S, Kerr A
- Issue date: 2006 May 23
- Community physicians' knowledge of secondary prevention after ischemic stroke: a questionnaire survey in Shanxi Province, China.
- Authors: Chen C, Qiao X, Kang H, Ding L, Bai L, Wang J
- Issue date: 2015 Nov 3