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.
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