Variations in follow-up services after inpatient stroke rehabilitation: a multicentre study.

Authors

  • Koen Putman
  • Liesbet De Wit
  • Wilfred Schupp
  • Ilse Baert
  • Nadine Brinkmann
  • Eddy Dejaeger
  • Willy De Weerdt
  • Hilde Feys
  • Walter Jenni
  • Christiane Kaske
  • Nadina B. Lincoln
  • Fred Louckx
  • Birgit Schuback
  • Bozena Smith
  • Mark Leys

DOI:

https://doi.org/10.2340/16501977-0385

Keywords:

stroke, rehabilitation, follow-up studies, community health services, health services research.

Abstract

BACKGROUND: Care after discharge from inpatient stroke rehabilitation units varies across Europe. The aim of this study was to compare service delivery after discharge. METHODS: A total of 532 consecutive patients after stroke were recruited from 4 European rehabilitation centres in Germany, Switzerland, Belgium and the UK. At 2-month intervals, clinical assessments and structured interviews were carried out to document functional status and delivery of services after discharge. Significant factors for receiving follow-up services were analysed using a logistic generalized estimating equation model. RESULTS: After controlling for case-mix, the results showed that Belgian patients were most likely to receive physical therapy but least likely to receive occupational therapy. German patients were least likely to receive nursing care. UK patients were less likely to receive medical care from their general practitioner compared with the other patient groups. CONCLUSION: Clinical characteristics did not explain the variations in service delivery after discharge from in-patient stroke rehabilitation. The decision-making processes involved in the provision of follow-up services need to be better documented. To improve our understanding of events post-discharge, the influence of non-clinical factors, such as healthcare regulations, should be explored further.

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Published

2009-06-26

How to Cite

Putman, K., De Wit, L., Schupp, W., Baert, I., Brinkmann, N., Dejaeger, E., De Weerdt, W., Feys, H., Jenni, W., Kaske, C., Lincoln, N. B., Louckx, F., Schuback, B., Smith, B., & Leys, M. (2009). Variations in follow-up services after inpatient stroke rehabilitation: a multicentre study. Journal of Rehabilitation Medicine, 41(8), 646–653. https://doi.org/10.2340/16501977-0385

Issue

Vol. 41 No. 8 (2009)

Section

Review

License

All digitalized JRM contents is available freely online. The Foundation for Rehabilitation Medicine owns the copyright for all material published until volume 40 (2008), as from volume 41 (2009) authors retain copyright to their work and as from volume 49 (2017) the journal has been published Open Access, under CC-BY-NC licences (unless otherwise specified). The CC-BY-NC licenses allow third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
From 2024, articles are published under the CC-BY licence. This license permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication.

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