| |
Centre for Policy on Ageing | |
 | |
|
| Integrated care pathways in stroke management | | Author(s) | David Sulch, Lalit Kalra |
| Journal title | Age and Ageing, vol 29, no 4, July 2000 |
| Pages | pp 349-352 |
| Keywords | Stroke ; Rehabilitation ; Management [care] ; Interaction [welfare services] ; Coordination ; Literature reviews. |
| Annotation | An organised, goal-defined and time-specified plan of management as envisaged by the integrated care pathway approach can achieve quality outcomes at lower cost. Integrated care pathways may have applications to stroke management, because diagnosis is well-defined, complex interdisciplinary inputs are required, and there is good evidence on best practice. The authors reviewed medical, nursing, rehabilitation and health databases; they identified six randomised studies of acute stroke and use of integrated care pathways. One used concurrent controls; the rest used historical controls. Only one study investigated stroke rehabilitation, and this used a quasi-randomised controlled design. Five studies in the acute setting demonstrated reduced hospital stay. A reduction in costs of care was reported in all five studies that examined costs. Two studies reported improved uptake of medical interventions. No difference in length of hospital stay, costs or functional status were seen in the rehabilitation study. Integrated care pathway methodology may facilitate quality and cost improvements in stroke care, but further evidence is needed before implementation in practice. (RH). |
| Accession Number | CPA-000824238 A |
| Classmark | CQA: LM: QA: QK6: QAJ: 64A |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|