ArticleBMC health services research2019
Referral patterns of stroke rehabilitation inpatients to a model system of outpatient services in Ontario, Canada: a 7-year retrospective analysis.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Referral-based transition to subsequent rehabilitation at home after stroke: one-year outcomes and use of healthcare services.BMC health services research · 2022Trial
- Identifying Clinician Perspectives on Current Stroke Care Gaps Across the Care Continuum: An Ontario, Canada-Focused Study.Health services insights · 2026Article
- Continuity of care interventions for people with stroke and their caregivers: A scoping review protocol.PloS one · 2025Article
- Utilization of early supported discharge and outpatient rehabilitation services following inpatient stroke rehabilitation.Archives of public health = Archives belges de sante publique · 2024Article
- Referral to Community-Based Rehabilitation Following Acute Stroke: Findings From the COMPASS Pragmatic Trial.Circulation. Cardiovascular quality and outcomes · 2024Observational
- Improving multidisciplinary hospital care for acute cerebral circulation disorders in Kazakhstan.Heliyon · 2023Article
- Perceptions of health professionals on structure and process of stroke rehabilitation in Ghana.African journal of disability · 2023Article
- Access to rehabilitation after stroke in Brazil (AReA study): multicenter study protocol.Arquivos de neuro-psiquiatria · 2022Article
- A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017.Scientific reports · 2021Article
- Clinic Utilization and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program's Sexual Rehabilitation Clinic.Journal of clinical medicine · 2020Article
- Optimal Planning of Health Services through Genetic Algorithm and Discrete Event Simulation: A Proposed Model and Its Application to Stroke Rehabilitation Care.MDM policy & practiceArticle
- An integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A feasibility study.Journal of comorbidityArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundWhile several studies have tracked the care paths of patients in the early phases of stroke recovery, studies examining the transition from inpatient to outpatient rehabilitation are lacking. Examining this transition allows for improved understanding and refinement of the process whereby patients are referred and admitted to programs. The objective of this study was to examine the referral patterns of stroke rehabilitation inpatients to outpatient stroke therapy services, their demographics, and clinical profile.
methodsThis study examined patients who: (1) were admitted to an inpatient stroke rehabilitation unit between January 1, 2009 and March 1, 2016, (2) had a stroke diagnosis, (3) had an inpatient length of stay of > 1 day, and (4) lived within the geographical boundaries of the South West Local Health Integration Network which allowed them access to both hospital-based and home-based stroke rehabilitation outpatient programs. Patient data was collected from the National Rehabilitation Reporting System, as well as three hospital outpatient administrative databases. These databases were cross-referenced to determine each patient's pathway. Those referred to an outpatient therapy program, and those who attended the outpatient programs, were compared to those who were not, and did not, respectively.
results1497 inpatients were included in the analysis. Upon discharge, 1037 (69.3%) of patients had an outpatient clinic, follow-up appointment scheduled; of those, 902 (87.0%) patients attended at least one outpatient clinic visit. 891 (59.5%) were referred to one of the interdisciplinary outpatient stroke rehabilitation programs; of those, an outpatient therapy program was attended by 80.9% of patients (n = 721). Of those receiving outpatient therapy services, the number of patients attending the in-hospital versus home-based program were equal, 360 and 361 individuals, respectively.
conclusionThis study allows for a better understanding of the transition between inpatient and outpatient stroke care. There is a paucity of this type of information in stroke rehabilitation literature to date. This study acts as a starting point in improving rehabilitation planning across the continuum of care.
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