ArticleBMC neurology2012
Unfulfilled rehabilitation needs and dissatisfaction with care 12 months after a stroke: an explorative observational study.
Article in BMC neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Unmet care needs of community-dwelling stroke survivors: a systematic review of quantitative studies.BMJ open · 2021Pooled it
- Long-term unmet needs after stroke: systematic review of evidence from survey studies.BMJ open · 2019Pooled it
- Changes in Perceived Impact of Stroke on Everyday Life over Five Years in a Rehabilitation Sample that Received an Activity of Daily Living Intervention: A Follow-Up Study.Journal of rehabilitation medicine · 2022Trial
- Referral-based transition to subsequent rehabilitation at home after stroke: one-year outcomes and use of healthcare services.BMC health services research · 2022Trial
- Patient satisfaction with hospital-based outpatient rehabilitation after stroke in Sweden and its association with life satisfaction and health-related quality of life: a longitudinal national register study.Journal of rehabilitation medicine · 2026Article
- The Lived Experience of Participating in Online Peer-To-Peer Groups After Acquired Brain Injury: Phenomenological Study.Journal of medical Internet research · 2025Article
- Patient satisfaction with rehabilitation services following traumatic brain injury: a quality registry study.Journal of rehabilitation medicine · 2024Article
- Implementation of evidence-based interventions according to the Swedish National Guidelines for Strokecare: a nationwide survey among physiotherapists.Journal of rehabilitation medicine · 2024Article
- Cancer patients' sense of coherence - psycho-oncological consultations and therapeutic alliance as salutogenic factors.Health psychology report · 2024Article
- Age differences in functioning and contextual factors in community-dwelling stroke survivors: A national cross-sectional survey.PloS one · 2022Article
- Satisfaction with Stroke Care Among Patients with Alzheimer's and Other Dementias: A Swedish Register-Based Study.Journal of Alzheimer's disease : JAD · 2021Article
- Expectations of individuals with neurological conditions from rehabilitation: A mixed-method study of needs.The South African journal of physiotherapy · 2021Article
- In-Home Rehabilitation Using a Smartphone App Coupled With 3D Printed Functional Objects: Single-Subject Design Study.JMIR mHealth and uHealth · 2020Article
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- Article
- Social work after stroke: identifying demand for support by recording stroke patients' and carers' needs in different phases after stroke.BMC neurology · 2016Article
- Post-discharge stroke patients' information needs as input to proposing patient-centred eHealth services.BMC medical informatics and decision making · 2016Article
- Doctor's follow-up after stroke in the south of Sweden: An observational study from the Swedish stroke register (Riksstroke).European stroke journal · 2016Article
- Article
- Developing human rights based indicators to support country monitoring of rehabilitation services and programmes for people with disabilities: a study protocol.BMC international health and human rights · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople who have suffered a stroke commonly report unfulfilled need for rehabilitation. Using a model of patient satisfaction, we examined characteristics in individuals that at 3 months after stroke predicted, or at 12 months were associated with unmet need for rehabilitation or dissatisfaction with health care services at 12 months after stroke.
methodsThe participants (n = 175) received care at the stroke units at the Karolinska University Hospital, Sweden. The dependent variables "unfulfilled needs for rehabilitation" and "dissatisfaction with care" were collected using a questionnaire. Stroke severity, domains of the Stroke Impact Scale (SIS), the Sense of Coherence scale (SOC) and socio demographic factors were used as independent variables in four logistic regression analyses.
resultsUnfulfilled needs for rehabilitation at 12 months were predicted by strength (SIS) (odds ratio (OR) 7.05) at three months, and associated with hand function (SIS) (OR 4.38) and poor self-rated recovery (SIS) (OR 2.46) at 12 months. Dissatisfaction with care was predicted by SOC (OR 4.18) and participation (SIS) (OR 3.78), and associated with SOC (OR 3.63) and strength (SIS) (OR 3.08).
conclusionsThirty-three percent of the participants reported unmet needs for rehabilitation and fourteen percent were dissatisfied with the care received. In order to attend to rehabilitation needs when they arise, rehabilitation services may need to be more flexible in terms of when rehabilitation is provided. Long term services with scheduled re-assessments and with more emphasis on understanding the experiences of both the patients and their social networks might better be able to provide services that attend to patients' needs and aid peoples' reorientation; this would apply particularly to those with poor coping capacity.
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