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dc.contributor.authorWhitford, David L
dc.contributor.authorHickey, Anne
dc.contributor.authorHorgan, Frances
dc.contributor.authorO'Sullivan, Bernadette
dc.contributor.authorMcGee, Hannah
dc.contributor.authorO'Neill, Desmond
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
refterms.dateFOA2018-08-31T05:06:27Z
html.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.


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