ArticleBMJ open2014
A longitudinal, multicentre, cohort study of community rehabilitation service delivery in long-term neurological conditions.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed.
- Article
- Cost efficiency of inpatient rehabilitation following acquired brain injury: the first international adaptation of the UK approach.BMJ open · 2024Observational
- Unmet rehabilitation needs in the first 6 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries.Journal of rehabilitation medicine · 2024Article
- Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries.Journal of clinical medicine · 2023Article
- The influence of personal factors, unmet need and service obstacles on the relationship between health service use and outcome after brain injury.BMC health services research · 2022Article
- Barriers and enablers to providing community-based occupational therapy to people with functional neurological disorder: An interview study with occupational therapists in the United Kingdom.The British journal of occupational therapy · 2022Article
- Development of a toolkit to enhance care processes for people with a long-term neurological condition: a qualitative descriptive study.BMJ open · 2018Article
- Article
- Unmet needs for healthcare and social support services in patients with Huntington's disease: a cross-sectional population-based study.Orphanet journal of rare diseases · 2015Article
- A longitudinal, multicentre, cohort study of community rehabilitation service delivery in long-term neurological conditions.BMJ open · 2014Article
- Spinal Cord Injury Community Survey: Understanding the Needs of Canadians with SCI.Topics in spinal cord injury rehabilitation · 2014Article
- Article
- Estimated Life-Time Savings in the Cost of Ongoing Care Following Specialist Rehabilitation for Severe Traumatic Brain Injury in the United Kingdom.The Journal of head trauma rehabilitationArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesPart A: To pilot the use of a register to identify and monitor patients with complex needs arising from long-term neurological conditions. Part B: To determine the extent to which patients' needs for health and social services are met following discharge to the community after inpatient rehabilitation; to identify which factors predict unmet needs and to explore the relationship between service provision and outcomes at 12 months.
designA multicentre, prospective, cohort study surveying participants at 1, 6 and 12 months using postal/online questionnaires and telephone interview.
settingConsecutive discharges to the community from all nine tertiary, specialist, inpatient neurorehabilitation services in London over 18 months in 2010-2011.
participantsOf 576 admissions 428 patients were recruited at discharge: 256 responded at 4 weeks, 212 at 6 months and 190 at 12 months. MEASURES: Neurological Impairment Scale, The Needs and Provision Complexity Scale, The Northwick Park Dependency Scale, Community Integration Questionnaire, Zarit Burden Inventory.
resultsn=322 (75%) expressed willingness to be registered, but in practice less than half responded to questionnaires at 6 and 12 months (49% and 44%, respectively), despite extensive efforts to contact them, with no significant differences between responders and non-responders. Significant unmet needs were identified within the first year following discharge, particularly in rehabilitation, social work support and provision of specialist equipment. Dependency for basic care and motor and cognitive impairment predicted services received, together accounting for 40% of the variance. Contra to expectation, patients whose rehabilitation needs were met were more dependent and less well integrated at 12 months post discharge than those with unmet needs.
conclusionsRegistration is acceptable to most patients, but questionnaires/telephone interviews may not be the most efficient way to reach them. When community resources are limited, service provision tends to be focused on the most dependent patients. REGISTRATION: The study was registered with the NIHR Comprehensive Local Research Network: ID number 7503.
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