Dataset Information

Patient experience of centralized acute stroke care pathways.

ABSTRACT:

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.

SUBMITTER: Perry C

PROVIDER: S-EPMC6186538 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Patient experience of centralized acute stroke care pathways.

Perry Catherine C Papachristou Iliatha I Ramsay Angus I G AIG Boaden Ruth J RJ McKevitt Christopher C Turner Simon J SJ Wolfe Charles D A CDA Fulop Naomi J NJ

Health expectations : an international journal of public participation in health care and health policy 20180331 5

<h4>Background</h4>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.<h4>Objective</h4>To explore the impact of centralized acute stroke care pathways on the experiences of patients.<h4>Design</h4>Qualitative interview study. Thematic analysis was undertaken, using deductive and inductive approaches. Final data analysis explored themes related ...[more]

PMID: 29605966

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Dataset Information

Patient experience of centralized acute stroke care pathways.

Background

Objective

Design

Setting and participants

Results

Discussion and conclusions

Publications

Patient experience of centralized acute stroke care pathways.

Similar Datasets

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