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13 May 2014 ProQuest
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1. Rehabilitation after stroke: changes between 2002 and 2007 in services provided by district health
boards in New
Zealand................................................................................................................................................ 1
13 May 2014 ii ProQuest
Document 1 of 1

Rehabilitation after stroke: changes between 2002 and 2007 in services provided by district health
boards in New Zealand
Author: Gommans, John; Barber, P Alan; Hanger, H Carl; Bennett, Patricia

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Abstract: Aim To determine changes between 2002 and 2007 in stroke rehabilitation services provided by
district health boards (DHBs) in New Zealand (NZ).
Method A questionnaire about organisation of stroke rehabilitation services and use of recommended guidelines
was sent to hospitals in all 21 DHBs.
Results Seven DHBs serving 49% of the NZ population provided a designated inpatient area for stroke
rehabilitation 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 dedicated
stroke rehabilitation unit. DHBs with a designated stroke rehabilitation area (SRA) were more likely to have
multidisciplinary teams that spent more than half of the time with stroke patients (94% population with SRA
versus 22% without SRA; p<0.001), audit their services (90% vs 39%; p <0.001), and provide education
sessions for patients/families (82% vs 55%; p 0.004). However, many DHBs did not have guidelines for the
management of common aspects of stroke care.
Conclusion Stroke rehabilitation services have improved since 2002 but concerns exist about the variability and
quality of services provided. A consistent national approach to implementation of guideline recommendations
and audit of services is required.
Subject: Stroke; Hospitals; Mortality; Older people; Rehabilitation; Physicians;
MeSH: Disability Evaluation, Forecasting, Health Care Surveys, Health Services Accessibility -- trends, Health
Services Needs & Demand -- trends, Humans, New Zealand, Patient Care Team -- standards, Quality of Health
Care -- 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
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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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