https://www.researchgate.net/profile/Michelle_Nelson9/publication/307951994_IMPROVING_EVIDENCE_AND_MEASURES_OF_PERFORMANCE_Applying_Clinical_Practice_Guidelines_to_the_Complex_Patient_Insights_for_Practice_and_Policy_from_Stroke_Rehabilitation/links/57d2e8f008ae0c0081e26ad0.pdf
Abstract
In Canada, policy makers are working to align services with the Stroke Rehabilitation Best Practice Recommendations (SRBPR). Complicating the application of clinical practice guidelines (CPGs) is the fact that most strokes occur in the context of other diagnoses. We sought to understand clinicians’ use of the CPGs and ascertain how much guidance regarding multimorbidity was available in the SRBPR. Study results
indicated that using
the recommendations was problematic due to a perceived lack of guidance regarding comorbidities and multimorbidity, and concerns regarding
the applicability to “real-life patients.” Comorbidities
were mentioned in less than half of the recommendations, but no explicit guidance was provided regarding the management
of comorbidities. Given the prevalence of multimorbidity in stroke rehabilitation, this clinical context is ideal for
development and testing of CPGs that account for multimorbidity and other complexity
factors. Results may
also suggest limitations to using CPGs in the development of activity-
based funding models.
No comments:
Post a Comment