INTRODUCTION Stroke care is complex and often provided by various healthcare organisations. Integrated care solutions are needed to optimise stroke care. In this paper, we describe the development of integrated stroke care in the region of Maastricht during the last 15 years. DESCRIPTION OF INTEGRATED CARE CASE Located in the south of the Netherlands, the region of Maastricht developed integr...

OBJECTIVE The objective of this study was to examine whether the position of 'after hours clinical support enrolled nurse' is embracing clinical skill extension in the acute surgical area. DESIGN Experienced enrolled nurses employed in a supernumerary capacity documented all activities with which they were engaged over a six-month period. SETTING Six surgical wards within a tertiary referra...

Accurate outcome prediction following stroke is important for proper delivery of poststroke care. It has been difficult to determine specific factors that provide reliable and accurate predictions of outcome, particularly for patients with intermediate deficit severities. Age and severity of deficit have repeatedly been found to be most reliable, but only as rough estimates and for patients at ...

Taiwan has been recognized by World Health Organization (WHO) as an “elderly” country in 1993 since its elderly (65 or older) population ratio was over 7%. Due to the physiological and psychological degeneration, the elderly always has a higher possibility of suffering from chronic diseases. Chronic patients, including the elderly suffering from chronic diseases, have burdened their families wi...

Developed in Collaboration With the American Association of Cardiovascular and Pulmonary Rehabilitation, Inter-Society Consensus for the Management of Peripheral Arterial Disease, Society for Cardiovascular Angiography and Interventions, Society for Clinical Vascular Surgery, Society of Interventional Radiology, Society for Vascular Medicine, Society for Vascular Nursing, Society for Vascular S...

1 Department of Health Technology and Informatics, Hong Kong Polytechnic University, Kowloon, Hong Kong, 2 School of Public Health, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong, 3 School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong, 4 Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, Hong Kong Polytechnic Universit...

Hip fracture patients occupy more and more hospital beds. One of the strategies for coping with this problem is early discharge from the hospital to institutions with rehabilitation facilities. We studied whether early discharge affects outcome and costs. 208 elderly patients with a hip fracture were followed up to 4 months after the fracture. First, a group of 102 patients stayed in our hospit...

OBJECTIVE To investigate the criterion or concurrent validity of the Northwick Park Dependency Score (NPDS) for determining nursing dependence in different rehabilitation groups, with the Barthel Index (BI) and the Care Dependency Scale (CDS). DESIGN Cross-sectional study. SETTING Centre for Rehabilitation of the University Medical Center Groningen, The Netherlands. SUBJECTS Patients afte...

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STUDY OBJECTIVE To assess the impact of guidelines for stroke management on the utilisation of services by patients and the cost consequences of implementation. DESIGN Prospective audit. SETTING District health authority in southern England. PATIENTS A total of 468 live non-comatose stroke patients registered between November 1991 and May 1993. MAIN OUTCOME MEASURES A comparison between...