Article

This study aim was to evaluate whether the Extended International
Classification of Functioning, Disability and Health Core Set for Stroke captured
the interventions of a community stroke rehabilitation team situated in a large
city in New Zealand. It was proposed that the results would identify the
contribution of each discipline, and the gaps and differences in service
provision to Maori and non-Maori. Applying the Extended International
Classification of Functioning, Disability and Health Core Set for Stroke in this
way would also inform whether this core set should be adopted in New Zealand.
METHOD: Interventions were retrospectively extracted from 18 medical records and
linked to the International Classification of Functioning, Disability and Health
and the Extended International Classification of Functioning, Disability and
Health Core Set for Stroke. The frequencies of linked interventions and the
health discipline providing the intervention were calculated. RESULTS: Analysis
revealed that 98.8% of interventions provided by the rehabilitation team could be
linked to the Extended International Classification of Functioning, Disability
and Health Core Set for Stroke, with more interventions for body function and
structure than for activities and participation; no interventions for emotional
concerns; and limited interventions for community, social and civic life. Results
support previous recommendations for additions to the EICSS. CONCLUSIONS: The
results support the use of the Extended International Classification of
Functioning, Disability and Health Core Set for Stroke in New Zealand and
demonstrates its use as a quality assurance tool that can evaluate the scope and
practice of a rehabilitation service. Implications for Rehabilitation The
Extended International Classification of Functioning Disability and Health Core
Set for Stroke appears to represent the stroke interventions of a community
stroke rehabilitation team in New Zealand. As a result, researchers and
clinicians may have increased confidence to use this core set in research and
clinical practice. The Extended International Classification of Functioning
Disability and Health Core Set for Stroke can be used as a quality assurance tool
to establish whether a community stroke rehabilitation team is meeting the
functional needs of its stroke population.

Langue : ANGLAIS