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Tytuł:
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Patient experience of centralized acute stroke care pathways.
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Autorzy:
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Perry C; Alliance Manchester Business School, University of Manchester, Manchester, UK.
Papachristou I; Department of Applied Health Research, University College London, London, UK.
Ramsay AIG; Department of Applied Health Research, University College London, London, UK.
Boaden RJ; Alliance Manchester Business School, University of Manchester, Manchester, UK.
McKevitt C; Department of Primary Care and Public Health Sciences, Kings College London, London, UK.; National Institute of Health Research Comprehensive Biomedical Research Centre, Guy's and St Thomas' NHS Foundation Trust, King's College London, London, UK.
Turner SJ; Centre for Primary Care, Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Wolfe CDA; Department of Primary Care and Public Health Sciences, Kings College London, London, UK.; National Institute of Health Research Comprehensive Biomedical Research Centre, Guy's and St Thomas' NHS Foundation Trust, King's College London, London, UK.; National Institute of Health Research, Collaboration for Leadership in Applied Health Research and Care South London, London, UK.
Fulop NJ; Department of Applied Health Research, University College London, London, UK.
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Źródło:
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Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2018 Oct; Vol. 21 (5), pp. 909-918. Date of Electronic Publication: 2018 Mar 31.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Oxford, UK : Wiley, c1998-
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MeSH Terms:
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Centralized Hospital Services*
Family*
Patient Satisfaction*
Stroke/*therapy
Adult ; Aged ; Aged, 80 and over ; Critical Care ; Female ; Humans ; London ; Male ; Middle Aged ; Qualitative Research
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References:
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Grant Information:
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10/1009/09 United Kingdom DH_ Department of Health
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Contributed Indexing:
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Keywords: centralization of services; patient/carer experience; stroke care
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Entry Date(s):
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Date Created: 20180402 Date Completed: 20190528 Latest Revision: 20220129
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Update Code:
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20240105
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PubMed Central ID:
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PMC6186538
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DOI:
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10.1111/hex.12685
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PMID:
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29605966
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Background: In 2010, Greater Manchester (GM) and London centralized acute stroke care services into a reduced number of hyperacute stroke units, with local stroke units providing on-going care nearer patients' homes.
Objective: To explore the impact of centralized acute stroke care pathways on the experiences of patients.
Design: Qualitative interview study. Thematic analysis was undertaken, using deductive and inductive approaches. Final data analysis explored themes related to five chronological phases of the centralized stroke care pathway.
Setting and Participants: Recruitment from 3 hospitals in GM (15 stroke patients/8 family members) and 4 in London (21 stroke patients/9 family members).
Results: Participants were impressed with emergency services and initial reception at hospital: disquiet about travelling further than a local hospital was allayed by clear explanations. Participants knew who was treating them and were involved in decisions. Difficulties for families visiting hospitals a distance from home were raised. Repatriation to local hospitals was not always timely, but no detrimental effects were reported. Discharge to the community was viewed less positively.
Discussion and Conclusions: Patients on the centralized acute stroke care pathways reported many positive aspects of care: the centralization of care pathways can offer patients a good experience. Disadvantages of travelling further were perceived to be outweighed by the opportunity to receive the best quality care. This study highlights the necessity for all staff on a centralized care pathway to provide clear and accessible information to patients, in order to maximize their experience of care.
(© 2018 The Authors Health Expectations published by John Wiley & Sons Ltd.)
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