The integrated care pathway for post stroke patients (iCaPPS)

A shared care approach between stakeholders in areas with limited access to specialist stroke care services

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Lack of intersectoral collaboration within public health sectors compound efforts to promote effective multidisciplinary post stroke care after discharge following acute phase. A coordinated, primary care-led care pathway to manage post stroke patients residing at home in the community was designed by an expert panel of specialist stroke care providers to help overcome fragmented post stroke care in areas where access is limited or lacking. Methods: Expert panel discussions comprising Family Medicine Specialists, Neurologists, Rehabilitation Physicians and Therapists, and Nurse Managers from Ministry of Health and acadaemia were conducted. In Phase One, experts chartered current care processes in public healthcare facilities, from acute stroke till discharge and also patients who presented late with stroke symptoms to public primary care health centres. In Phase Two, modified Delphi technique was employed to obtain consensus on recommendations, based on current evidence and best care practices. Care algorithms were designed around existing work schedules at public health centres. Results: Indication for patients eligible for monitoring by primary care at public health centres were identified. Gaps in transfer of care occurred either at post discharge from acute care or primary care patients diagnosed at or beyond subacute phase at health centres. Essential information required during transfer of care from tertiary care to primary care providers was identified. Care algorithms including appropriate tools were summarised to guide primary care teams to identify patients requiring further multidisciplinary interventions. Shared care approaches with Specialist Stroke care team were outlined. Components of the iCaPPS were developed simultaneously: (i) iCaPPS-Rehab

Original languageEnglish
Article number35
JournalBMC Health Services Research
Volume17
Issue number1
DOIs
Publication statusPublished - 13 Jan 2017

Fingerprint

Stroke
Primary Health Care
Public Health
Subacute Care
Public Facilities
Delphi Technique
Nurse Administrators
Patient Discharge
Public Sector
Health
Physiologic Monitoring
Tertiary Healthcare
Practice Guidelines
Consensus
Appointments and Schedules
Rehabilitation
Medicine
Delivery of Health Care
Physicians

Keywords

  • Community based
  • Developing countries
  • Health care
  • Health services
  • Post stroke complications
  • Prevention of post stroke sequelae
  • Rehabilitation
  • Secondary prevention adherence stroke

ASJC Scopus subject areas

  • Health Policy

Cite this

@article{db2d4cd50b60420088d8da33ce669742,
title = "The integrated care pathway for post stroke patients (iCaPPS): A shared care approach between stakeholders in areas with limited access to specialist stroke care services",
abstract = "Background: Lack of intersectoral collaboration within public health sectors compound efforts to promote effective multidisciplinary post stroke care after discharge following acute phase. A coordinated, primary care-led care pathway to manage post stroke patients residing at home in the community was designed by an expert panel of specialist stroke care providers to help overcome fragmented post stroke care in areas where access is limited or lacking. Methods: Expert panel discussions comprising Family Medicine Specialists, Neurologists, Rehabilitation Physicians and Therapists, and Nurse Managers from Ministry of Health and acadaemia were conducted. In Phase One, experts chartered current care processes in public healthcare facilities, from acute stroke till discharge and also patients who presented late with stroke symptoms to public primary care health centres. In Phase Two, modified Delphi technique was employed to obtain consensus on recommendations, based on current evidence and best care practices. Care algorithms were designed around existing work schedules at public health centres. Results: Indication for patients eligible for monitoring by primary care at public health centres were identified. Gaps in transfer of care occurred either at post discharge from acute care or primary care patients diagnosed at or beyond subacute phase at health centres. Essential information required during transfer of care from tertiary care to primary care providers was identified. Care algorithms including appropriate tools were summarised to guide primary care teams to identify patients requiring further multidisciplinary interventions. Shared care approaches with Specialist Stroke care team were outlined. Components of the iCaPPS were developed simultaneously: (i) iCaPPS-Rehab",
keywords = "Community based, Developing countries, Health care, Health services, Post stroke complications, Prevention of post stroke sequelae, Rehabilitation, Secondary prevention adherence stroke",
author = "{Abdul Aziz}, {Aznida Firzah} and {Mohd Nordin}, {Nor Azlin} and Ali, {Mohd Fairuz} and {Abd Aziz}, {Noor Azah} and Saperi Sulong and {Syed Junid}, {Syed Mohamed Al-Junid}",
year = "2017",
month = "1",
day = "13",
doi = "10.1186/s12913-016-1963-8",
language = "English",
volume = "17",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - The integrated care pathway for post stroke patients (iCaPPS)

T2 - A shared care approach between stakeholders in areas with limited access to specialist stroke care services

AU - Abdul Aziz, Aznida Firzah

AU - Mohd Nordin, Nor Azlin

AU - Ali, Mohd Fairuz

AU - Abd Aziz, Noor Azah

AU - Sulong, Saperi

AU - Syed Junid, Syed Mohamed Al-Junid

PY - 2017/1/13

Y1 - 2017/1/13

N2 - Background: Lack of intersectoral collaboration within public health sectors compound efforts to promote effective multidisciplinary post stroke care after discharge following acute phase. A coordinated, primary care-led care pathway to manage post stroke patients residing at home in the community was designed by an expert panel of specialist stroke care providers to help overcome fragmented post stroke care in areas where access is limited or lacking. Methods: Expert panel discussions comprising Family Medicine Specialists, Neurologists, Rehabilitation Physicians and Therapists, and Nurse Managers from Ministry of Health and acadaemia were conducted. In Phase One, experts chartered current care processes in public healthcare facilities, from acute stroke till discharge and also patients who presented late with stroke symptoms to public primary care health centres. In Phase Two, modified Delphi technique was employed to obtain consensus on recommendations, based on current evidence and best care practices. Care algorithms were designed around existing work schedules at public health centres. Results: Indication for patients eligible for monitoring by primary care at public health centres were identified. Gaps in transfer of care occurred either at post discharge from acute care or primary care patients diagnosed at or beyond subacute phase at health centres. Essential information required during transfer of care from tertiary care to primary care providers was identified. Care algorithms including appropriate tools were summarised to guide primary care teams to identify patients requiring further multidisciplinary interventions. Shared care approaches with Specialist Stroke care team were outlined. Components of the iCaPPS were developed simultaneously: (i) iCaPPS-Rehab

AB - Background: Lack of intersectoral collaboration within public health sectors compound efforts to promote effective multidisciplinary post stroke care after discharge following acute phase. A coordinated, primary care-led care pathway to manage post stroke patients residing at home in the community was designed by an expert panel of specialist stroke care providers to help overcome fragmented post stroke care in areas where access is limited or lacking. Methods: Expert panel discussions comprising Family Medicine Specialists, Neurologists, Rehabilitation Physicians and Therapists, and Nurse Managers from Ministry of Health and acadaemia were conducted. In Phase One, experts chartered current care processes in public healthcare facilities, from acute stroke till discharge and also patients who presented late with stroke symptoms to public primary care health centres. In Phase Two, modified Delphi technique was employed to obtain consensus on recommendations, based on current evidence and best care practices. Care algorithms were designed around existing work schedules at public health centres. Results: Indication for patients eligible for monitoring by primary care at public health centres were identified. Gaps in transfer of care occurred either at post discharge from acute care or primary care patients diagnosed at or beyond subacute phase at health centres. Essential information required during transfer of care from tertiary care to primary care providers was identified. Care algorithms including appropriate tools were summarised to guide primary care teams to identify patients requiring further multidisciplinary interventions. Shared care approaches with Specialist Stroke care team were outlined. Components of the iCaPPS were developed simultaneously: (i) iCaPPS-Rehab

KW - Community based

KW - Developing countries

KW - Health care

KW - Health services

KW - Post stroke complications

KW - Prevention of post stroke sequelae

KW - Rehabilitation

KW - Secondary prevention adherence stroke

UR - http://www.scopus.com/inward/record.url?scp=85009513383&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009513383&partnerID=8YFLogxK

U2 - 10.1186/s12913-016-1963-8

DO - 10.1186/s12913-016-1963-8

M3 - Article

VL - 17

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 35

ER -