Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.
dc.contributor.author | Whitford, David L | |
dc.contributor.author | Hickey, Anne | |
dc.contributor.author | Horgan, Frances | |
dc.contributor.author | O'Sullivan, Bernadette | |
dc.contributor.author | McGee, Hannah | |
dc.contributor.author | O'Neill, Desmond | |
dc.date.accessioned | 2010-03-23T16:35:15Z | |
dc.date.available | 2010-03-23T16:35:15Z | |
dc.date.issued | 2009 | |
dc.identifier.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 | en |
dc.identifier.issn | 1471-2296 | |
dc.identifier.pmid | 19402908 | |
dc.identifier.doi | 10.1186/1471-2296-10-27 | |
dc.identifier.uri | http://hdl.handle.net/10147/94727 | |
dc.description.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. | |
dc.language.iso | en | en |
dc.subject.mesh | Attitude of Health Personnel | |
dc.subject.mesh | Health Care Surveys | |
dc.subject.mesh | Health Services Accessibility | |
dc.subject.mesh | Home Care Services | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Ireland | |
dc.subject.mesh | Long-Term Care | |
dc.subject.mesh | Needs Assessment | |
dc.subject.mesh | Physician's Practice Patterns | |
dc.subject.mesh | Physicians, Family | |
dc.subject.mesh | Primary Health Care | |
dc.subject.mesh | Stroke | |
dc.title | Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. | en |
dc.contributor.department | 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 | en |
dc.identifier.journal | BMC family practice | en |
refterms.dateFOA | 2018-08-31T05:06:27Z | |
html.description.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. |