PRACTICE VARIATION IN THE STRUCTURE OF STROKE REHABILITATION IN FOUR REHABILITATION CENTRES IN THE NETHERLANDS

IF Groeneveld, JJL Meesters, HJ Arwert, N Roux-Otter, Gerard Ribbers, CAM van Bennekom, PH Goossens, TPMV Vlieland

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Abstract

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.
Original languageUndefined/Unknown
Pages (from-to)287-292
Number of pages6
JournalJournal of Rehabilitation Medicine
Volume48
Issue number3
DOIs
Publication statusPublished - 2016

Research programs

  • EMC MUSC-01-46-01

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