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_______________________________________________________________ Report Information from ProQuest13 May 2014 08:45_______________________________________________________________

Document 1 of 1 Rehabilitation after stroke: changes between 2002 and 2007 in services provided by district healthboards in New Zealand Author: Gommans, John; Barber, P Alan; Hanger, H Carl; Bennett, Patricia ProQuest document link Abstract: Aim To determine changes between 2002 and 2007 in stroke rehabilitation services provided bydistrict health boards (DHBs) in New Zealand (NZ). Method A questionnaire about organisation of stroke rehabilitation services and use of recommended guidelineswas sent to hospitals in all 21 DHBs. Results Seven DHBs serving 49% of the NZ population provided a designated inpatient area for strokerehabilitation in 2007 compared with one DHB serving 10% of the population in 2002 (p<0.001). In six DHBs(37%), this designated area was within a general rehabilitation unit. Only one DHB (12%) had a dedicatedstroke rehabilitation unit. DHBs with a designated stroke rehabilitation area (SRA) were more likely to havemultidisciplinary teams that spent more than half of the time with stroke patients (94% population with SRAversus 22% without SRA; p<0.001), audit their services (90% vs 39%; p <0.001), and provide educationsessions for patients/families (82% vs 55%; p 0.004). However, many DHBs did not have guidelines for themanagement of common aspects of stroke care. Conclusion Stroke rehabilitation services have improved since 2002 but concerns exist about the variability andquality of services provided. A consistent national approach to implementation of guideline recommendationsand audit of services is required. Subject: Stroke; Hospitals; Mortality; Older people; Rehabilitation; Physicians; MeSH: Disability Evaluation, Forecasting, Health Care Surveys, Health Services Accessibility -- trends, HealthServices Needs & Demand -- trends, Humans, New Zealand, Patient Care Team -- standards, Quality of HealthCare -- trends, Delivery of Health Care -- trends (major), Guideline Adherence -- statistics & numerical data(major), National Health Programs -- trends (major), Rehabilitation Centers -- supply & distribution (major),Stroke -- rehabilitation (major) Location: Australia Publication title: The New Zealand Medical Journal (Online) Volume: 121 Issue: 1274 Pages: 26-33 Publication year: 2008 Publication date: May 23, 2008 Year: 2008 Section: Original Articles Publisher: New Zealand Medical Association (NZMA) Place of publication: Christchurch Country of publication: New Zealand

Publication subject: Medical Sciences ISSN: 11758716 Source type: Scholarly Journals Language of publication: English Document type: Journal Article Accession number: 18535639 ProQuest document ID: 1034241906 Document URL: http://search.proquest.com/docview/1034241906?accountid=50673 Copyright: Copyright New Zealand Medical Association (NZMA) May 23, 2008 Last updated: 2014-03-19 Database: ProQuest Medical Library

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