Article

OBJECTIVE: To describe practice variation in the structure of stroke
rehabilitation in 4 specialized multidisciplinary rehabilitation centres in the Netherlands. DESIGN AND METHODS:
A multidisciplinary expert group formulated a
set of 23 elements concerning the structure of inpatient and outpatient stroke
rehabilitation, categorized into 4 domains: admission-related
(n = 7),
treatment-related (n = 10), client involvement-related (n = 2), and
facilities-related (n = 4). In a cross-sectional study in 4 rehabilitation
centres data on the presence and content of these elements were abstracted from
treatment programmes and protocols. In a structured expert meeting consensus was
reached on the presence of practice variation per element. RESULTS: Practice
variation was observed in 22 of the 23 structure elements. The element
"strategies for patient involvement" appeared similar in all rehabilitation
centres, whereas differences were found in the elements regarding admission,
exclusion and discharge criteria, patient subgroups, care pathways, team
meetings, clinical assessments, maximum time to admission, aftercare and return
to work modules, health professionals, treatment facilities, and care-giver
involvement. CONCLUSION: Practice variation was found in a wide range of aspects
of the structure of stroke rehabilitation.
- Pays Bas

Langue : ANGLAIS