So your 'best' is still a complete failure, none are referred to as 100% recovered. Who is being fired for that incompetence? If I never 100% solved the problems I was assigned I would be fired immediately. You can't allow the tyranny of low expectations to allow your hospital to retain incompetent persons.
Integrated Care Programs for Stroke Patients May Be Best
The study covered in this summary was published in medRxiv.org as a preprint and has not yet been peer reviewed.
Key Takeaways
Recipients of the return home program (RHP) were admitted to a long-term care facility less frequently and later than other patients, suggesting that institutionalization is sometimes a consequence of inadequate or late home care.
Implementing an integrated care program of healthcare and social care for stroke patients at discharge successfully promoted early domiciliary care delivery, resulting in less frequent and later institutionalization in a long-term care facility.
The benefits of postdischarge integrated care services for stroke patients are likely to increase through the pooling of budgets and approaches that integrate social services and healthcare services as a whole.
Why This Matters
Stroke affects over 80 million people worldwide and is the leading cause of disability among adults.
Owing to their limited capacity for activities of daily living, stroke patients often require domiciliary care after hospital discharge.
The healthcare burden of stroke is expected to increase in the upcoming years. There is thus a need for implementing integrated care pathways that efficiently screen stroke patients. There is also a need for adequate postdischarge care plans that meet the social and healthcare needs of patients.
Study Design
The health outcomes and the use of resources of 92 stroke patients who received care within the RHP program were compared with those of a population-based matched control group using central healthcare records regarding routine care.
Patients in the intervention group received domiciliary care service, home rehabilitation, and telecare significantly earlier than the matched control patients.
The primary objective of the study was to assess the time to key events, which included adverse endpoints (ie, death and institutionalization in a long-term care facility) and service provision endpoints (ie, receiving domiciliary care, telecare, and at-home rehabilitation services).
Key Results
Within the first 2 years after the stroke episode, recipients of the RHP program were less frequently institutionalized in a long-term care facility (5% vs 15%).
The use of primary care services, nonemergency transport, and telecare services was more frequent in the RHP group.
Two years after the index stroke episode, domiciliary care was being provided to 92.4% of patients in the RHP group and to 19.1% of the control group. Telecare services were provided to 75.5% of the RHP group and to 44.5% of the control group 2 years after the index episode.
Two years after the index stroke episode, 98.4% of patients in the RHP group were receiving at-home rehabilitation; among the control group, 84.8% were receiving at-home rehabilitation.
