Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.
Authors
Whitford, David LHickey, 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.comIssue Date
2009MeSH
Attitude of Health PersonnelHealth 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
Metadata
Show full item recordCitation
Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study. 2009, 10:27 BMC Fam PractJournal
BMC family practiceDOI
10.1186/1471-2296-10-27PubMed ID
19402908Abstract
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
enISSN
1471-2296ae974a485f413a2113503eed53cd6c53
10.1186/1471-2296-10-27
Scopus Count
Collections
Related articles
- 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
- 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
- US national survey of physician practices for the secondary and tertiary prevention of ischemic stroke. Design, service availability, and common practices.
- Authors: Goldstein LB, Bonito AJ, Matchar DB, Duncan PW, DeFriese GH, Oddone EZ, Paul JE, Akin DR, Samsa GP
- Issue date: 1995 Sep
- The management of non-valvular atrial fibrillation (NVAF) in Australian general practice: bridging the evidence-practice gap. A national, representative postal survey.
- Authors: Gattellari M, Worthington JM, Zwar NA, Middleton S
- Issue date: 2008 Nov 13
- 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