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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Stroke patients’ pathways to rehabilitation in Portugal</title><author><name sortKey="Santana, Silvina" sort="Santana, Silvina" uniqKey="Santana S" first="Silvina" last="Santana">Silvina Santana</name></author><author><name sortKey="Redondo, Patricia" sort="Redondo, Patricia" uniqKey="Redondo P" first="Patrícia" last="Redondo">Patrícia Redondo</name></author><author><name sortKey="Neves, Conceicao" sort="Neves, Conceicao" uniqKey="Neves C" first="Conceição" last="Neves">Conceição Neves</name></author><author><name sortKey="Rente, Jose" sort="Rente, Jose" uniqKey="Rente J" first="José" last="Rente">José Rente</name></author><author><name sortKey="Viana, Marta" sort="Viana, Marta" uniqKey="Viana M" first="Marta" last="Viana">Marta Viana</name></author><author><name sortKey="Ribeiro, Mariana" sort="Ribeiro, Mariana" uniqKey="Ribeiro M" first="Mariana" last="Ribeiro">Mariana Ribeiro</name></author><author><name sortKey="Szczygiel, Nina" sort="Szczygiel, Nina" uniqKey="Szczygiel N" first="Nina" last="Szczygiel">Nina Szczygiel</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">3184801</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184801</idno><idno type="RBID">PMC:3184801</idno><idno type="pmid">NONE</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000274</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000274</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Stroke patients’ pathways to rehabilitation in Portugal</title><author><name sortKey="Santana, Silvina" sort="Santana, Silvina" uniqKey="Santana S" first="Silvina" last="Santana">Silvina Santana</name></author><author><name sortKey="Redondo, Patricia" sort="Redondo, Patricia" uniqKey="Redondo P" first="Patrícia" last="Redondo">Patrícia Redondo</name></author><author><name sortKey="Neves, Conceicao" sort="Neves, Conceicao" uniqKey="Neves C" first="Conceição" last="Neves">Conceição Neves</name></author><author><name sortKey="Rente, Jose" sort="Rente, Jose" uniqKey="Rente J" first="José" last="Rente">José Rente</name></author><author><name sortKey="Viana, Marta" sort="Viana, Marta" uniqKey="Viana M" first="Marta" last="Viana">Marta Viana</name></author><author><name sortKey="Ribeiro, Mariana" sort="Ribeiro, Mariana" uniqKey="Ribeiro M" first="Mariana" last="Ribeiro">Mariana Ribeiro</name></author><author><name sortKey="Szczygiel, Nina" sort="Szczygiel, Nina" uniqKey="Szczygiel N" first="Nina" last="Szczygiel">Nina Szczygiel</name></author></analytic><series><title level="j">International Journal of Integrated Care</title><idno type="eISSN">1568-4156</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose</title><p>To report on stroke patients’ pathways to rehabilitation in Portugal, in light of an ongoing EHSD procedure.</p></sec><sec id="st2"><title>Theory and methods</title><p>The Portuguese government has created the National Network of Continuous Integrated Care (RNCCI) to reduce costly acute care and length of stay in hospitals by substituting less costly care closer to the community. The network is based on establishing protocols with existing institutions, designated according to the kind of services they provide as convalescence, medium-term and rehabilitation, long-term and maintenance, palliative care unit and day care and autonomy promotion units. Home care is supposed to be one important element in this network, but implementation only now is starting. Integration outside the RNCCI and between the RNCCI and other levels of care is still low, especially between health and social institutions and between formal and informal care. The study is based on an RCT encompassing patients admitted to a stroke unit. Those fulfilling admission criteria are randomised to the intervention group or the control group. In the control group patients receive traditional care. In the intervention group patients receive EHSD services. All are followed for 6 months after discharge. Data are collected regarding outcomes and patients’ pathways.</p></sec><sec id="st3"><title>Results</title><p>Preliminary results confirm the existence of a very fragmented and complex setting.</p></sec><sec id="st4"><title>Conclusions and discussion</title><p>Beside the benefit that might accrue to patients receiving home rehabilitation, the simple fact of having someone assisting them navigate the system play a significant role in patient and family motivation, satisfaction and quality of life.</p></sec></div></front></TEI><pmc article-type="abstract"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Integr Care</journal-id><journal-id journal-id-type="publisher-id">IJIC</journal-id><journal-title-group><journal-title>International Journal of Integrated Care</journal-title></journal-title-group><issn pub-type="epub">1568-4156</issn><publisher><publisher-name>Igitur Publishing</publisher-name><publisher-loc>Utrecht, The Netherlands</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">3184801</article-id><article-id pub-id-type="publisher-id">ijic2011106</article-id><article-categories><subj-group subj-group-type="heading"><subject>Conference Abstract</subject></subj-group></article-categories><title-group><article-title>Stroke patients’ pathways to rehabilitation in Portugal</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Santana</surname><given-names>Silvina</given-names></name><degrees>PhD</degrees><role>Associate Professor with Agregação</role><aff>Department of Economics, Management and Industrial Engineering, Institute of Electronics Engineering and Telematics of Aveiro, University of Aveiro, Portugal</aff></contrib><contrib contrib-type="author"><name><surname>Redondo</surname><given-names>Patrícia</given-names></name><degrees>MSc, PhD Candidate</degrees><aff>Department of Economics, Management and Industrial Engineering, Institute of Electronics Engineering and Telematics of Aveiro, University of Aveiro, Portugal</aff></contrib><contrib contrib-type="author"><name><surname>Neves</surname><given-names>Conceição</given-names></name><degrees>MSc, PhD Candidate</degrees><role>Chief Nurse</role><aff>Unidade de Acidentes Vasculares Cerebrais (Stroke Unit), Hospital Infante Dom Pedro, Aveiro, Portugal</aff></contrib><contrib contrib-type="author"><name><surname>Rente</surname><given-names>José</given-names></name><role>Chief Neurologist</role><aff>Unidade de Acidentes Vasculares Cerebrais (Stroke Unit), Hospital Infante Dom Pedro, Aveiro, Portugal</aff></contrib><contrib contrib-type="author"><name><surname>Viana</surname><given-names>Marta</given-names></name><degrees>MSc</degrees><aff>Department of Economics, Management and Industrial Engineering, Institute of Electronics Engineering and Telematics of Aveiro, University of Aveiro, Portugal</aff></contrib><contrib contrib-type="author"><name><surname>Ribeiro</surname><given-names>Mariana</given-names></name><degrees>MSc</degrees><aff>Department of Economics, Management and Industrial Engineering, Institute of Electronics Engineering and Telematics of Aveiro, University of Aveiro, Portugal</aff></contrib><contrib contrib-type="author"><name><surname>Szczygiel</surname><given-names>Nina</given-names></name><degrees>MSc, PhD Candidate</degrees><aff>Department of Economics, Management and Industrial Engineering, GOVCOPP – Research Unit on Governance, Competitiveness and Public Policies, University of Aveiro, Aveiro, Portugal</aff></contrib></contrib-group><author-notes><corresp id="cor1">Correspondence to: Silvina Santana, E-mail: <email>silvina.santana@ua.pt</email></corresp></author-notes><pub-date pub-type="collection"><season>Jul-Sep</season><year>2011</year></pub-date><pub-date pub-type="epub"><day>1</day><month>8</month><year>2011</year></pub-date><volume>11</volume><issue>Suppl</issue><elocation-id>e106</elocation-id><ext-link ext-link-type="uri" xlink:href="http://persistent-identifier.nl/?identifier=URN:NBN:NL:UI:10-1-101543/ijic2011-106">URN:NBN:NL:UI:10-1-101543 / ijic2011-106</ext-link><ext-link ext-link-type="uri" xlink:href="http://www.ijic.org">http://www.ijic.org</ext-link><permissions><copyright-statement>Copyright 2011, International Journal of Integrated Care (IJIC)</copyright-statement><copyright-year>2011</copyright-year><license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Purpose</title><p>To report on stroke patients’ pathways to rehabilitation in Portugal, in light of an ongoing EHSD procedure.</p></sec><sec id="st2"><title>Theory and methods</title><p>The Portuguese government has created the National Network of Continuous Integrated Care (RNCCI) to reduce costly acute care and length of stay in hospitals by substituting less costly care closer to the community. The network is based on establishing protocols with existing institutions, designated according to the kind of services they provide as convalescence, medium-term and rehabilitation, long-term and maintenance, palliative care unit and day care and autonomy promotion units. Home care is supposed to be one important element in this network, but implementation only now is starting. Integration outside the RNCCI and between the RNCCI and other levels of care is still low, especially between health and social institutions and between formal and informal care. The study is based on an RCT encompassing patients admitted to a stroke unit. Those fulfilling admission criteria are randomised to the intervention group or the control group. In the control group patients receive traditional care. In the intervention group patients receive EHSD services. All are followed for 6 months after discharge. Data are collected regarding outcomes and patients’ pathways.</p></sec><sec id="st3"><title>Results</title><p>Preliminary results confirm the existence of a very fragmented and complex setting.</p></sec><sec id="st4"><title>Conclusions and discussion</title><p>Beside the benefit that might accrue to patients receiving home rehabilitation, the simple fact of having someone assisting them navigate the system play a significant role in patient and family motivation, satisfaction and quality of life.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>EHSD</kwd><kwd>stroke rehabilitation pathways</kwd><kwd>FIM</kwd><kwd>costs</kwd><kwd>health and social care services</kwd><kwd>RCT</kwd><kwd>Portugal</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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