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Total 916 results found since Jan 2013.

Functional Outcomes, Subsequent Healthcare Utilization, and Mortality of Stroke Postacute Care Patients in Taiwan: A Nationwide Propensity Score-matched Study
To evaluate the benefits of the national stroke postacute care (PAC) program on clinical outcomes and subsequent healthcare utilization.
Source: Journal of the American Medical Directors Association - August 10, 2017 Category: Health Management Authors: Li-Ning Peng, Wan-Hsuan Lu, Chih-Kuang Liang, Ming-Yueh Chou, Chih-Ping Chung, Shu-Ling Tsai, Zhi-Jun Chen, Fei-Yuan Hsiao, Liang-Kung Chen, Taiwan Stroke Postacute Care (PAC) Study Group Tags: Original Study Source Type: research

Health professionals’ adherence to stroke clinical guidelines: A review of the literature
Discussion: Adherence to stroke guidelines varied in the studies reviewed. Given the evidence that implementation of clinical guidelines in stroke care leads to better quality of care and improved health outcomes for patients, there is a need to increase adherence behaviours of health professionals towards recommended guidelines, in particular for long term stroke care.
Source: Health Policy - June 3, 2013 Category: Health Management Authors: C. Donnellan, S. Sweetman, E. Shelley Tags: Health Care Quality Source Type: research

Healthcare costs before and after stroke in non-valvular atrial fibrillation patients who initiated treatment with rivaroxaban or warfarin.
CONCLUSIONS: Total all-cause costs of care increased in the post-stroke period, and particularly in the patients treated with warfarin relative to those treated with rivaroxaban. The lower rate of stroke in the rivaroxaban cohort suggests that greater pre- to post-stroke cost increases result from more strokes occurring in the warfarin cohort. PMID: 33499689 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - January 29, 2021 Category: Health Management Tags: J Med Econ Source Type: research

Long-term QALY-weights among spouses of dependent and independent midlife stroke survivors
ConclusionThe QALY-weights for spouses of dependent midlife stroke survivors were significantly reduced compared to spouses of independent midlife stroke survivors. This indicates that the inclusion of spouses ’ QALYs in evaluations of early treatment and rehabilitation efforts to reduce stroke patients’ dependency would capture more of the total effect in dyads of stroke survivors.
Source: Quality of Life Research - October 24, 2017 Category: Health Management Source Type: research

Marginal costing methods highlight the contributing cost of comorbid conditions in medicare patients: a quasi-experimental case--control study of ischemic stroke costs
Conclusions: Accurate estimates of cost of care for conditions, such as stroke, that are common in older patients with a high rate of comorbid conditions require the use of a marginal costing approach. Over estimation of cost of care for stroke may lead to prediction of larger savings than realizable from important stroke treatment and prevention programs, which may damage the credibility of program advocates, and jeopardize long term funding support. Additionally, correct cost estimates are needed as inputs for valid cost-effectiveness studies. Thus, it is important to use marginal costing for stroke, especially with the ...
Source: Cost Effectiveness and Resource Allocation - November 16, 2013 Category: Health Management Authors: Annie SimpsonHeather BonilhaAbby KazleyJames ZollerCharles Ellis Source Type: research

Marginal costing methods highlight the contributing cost of comorbid conditions in Medicare patients: a quasi-experimental case¿control study of ischemic stroke costs
Conclusions: Accurate estimates of cost of care for conditions, such as stroke, that are common in older patients with a high rate of comorbid conditions require the use of a marginal costing approach. Over estimation of cost of care for stroke may lead to prediction of larger savings than realizable from important stroke treatment and prevention programs, which may damage the credibility of program advocates, and jeopardize long term funding support. Additionally, correct cost estimates are needed as inputs for valid cost-effectiveness studies. Thus, it is important to use marginal costing for stroke, especially with the ...
Source: Cost Effectiveness and Resource Allocation - November 16, 2013 Category: Health Management Authors: Annie SimpsonHeather BonilhaAbby KazleyJames ZollerCharles Ellis Source Type: research

Developing a novel peer support intervention to promote resilience after stroke
This study demonstrates the application of the revised UKMRC framework to systematically develop an empirically and theoretically robust intervention to promote resilience after stroke. A future randomised feasibility study is needed to determine whether a full trial is feasible with a larger sample and wider age range of people with stroke.
Source: Health and Social Care in the Community - March 1, 2016 Category: Health Management Authors: Euan Sadler, Sophie Sarre, Anthea Tinker, Ajay Bhalla, Christopher McKevitt Tags: Original Article Source Type: research

Stroke care networks and the impact on quality of care
This study aims to analyze the performance of the current design of stroke care networks in Bavaria, Germany, and to evaluate the improvement potential when the networks are redesigned to minimize travel distances. To this end, we define three fundamental criteria for assessing network design performance: 1) average travel distances, 2) the populace in the catchment area relative to the number of stroke units, and 3) the ratio of stroke units to lower-care hospitals. We generate several alternative stroke network designs using an analytical approach based on mathematical programming and clustering. Finally, we evaluate the...
Source: Health Care Management Science - September 25, 2021 Category: Health Management Source Type: research

Life after Stroke: Coping mechanisms among African Caribbean Women
This study explored these areas through the coping mechanisms that African Caribbean women utilised post stroke in the context of stroke recovery and lifestyle modification efforts needed to promote healthy living post stroke. A qualitative approach using interpretative phenomenological analysis was adopted. Seven women were recruited into the study. Semi‐structured, in‐depth interviews were audio recorded and were transcribed verbatim. Data were analysed using a four‐stage framework: familiarisation, sense making, developing themes, and data refinement and analysis. Three main themes on coping emerged: the need to f...
Source: Health and Social Care in the Community - June 21, 2015 Category: Health Management Authors: Calvin R. Moorley, Sharon Cahill, Nova T. Corcoran Tags: Original Article Source Type: research

The validity of proxy responses on patient-reported outcome measures: Are proxies a reliable alternative to stroke patients ’ self-report?
ConclusionsBoth patient- and proxy-reported PROMs demonstrated strong validity. Only patient-reported PROMs were responsive to change, and proxies had worse validity for patients  ≤ 3 months from stroke but better validity for patients >  3 months from stroke. These findings justify the utilization of proxy responses in stroke patients >  3 months from stroke.
Source: Quality of Life Research - January 28, 2021 Category: Health Management Source Type: research

Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial
CONCLUSIONS: Acute stroke patients were able to understand risk communication. Visualization helped them capture information on stroke risk.PMID:35227636 | DOI:10.1016/j.zefq.2022.01.001
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 1, 2022 Category: Health Management Authors: Anna Artmann Anne Christin Rahn Sascha K öpke G ötz Thomalla Christoph Heesen Anna Christina Alegiani Source Type: research