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What aspects of rehabilitation provision contribute to self-reported met needs for rehabilitation one year after stroke - amount, place, operator or timing?
Dalarna University, School of Education, Health and Social Studies, Medical Science.ORCID iD: 0000-0003-0581-2895
Karolinska Institutet, Institutionen för Neurobiologi, vårdvetenskap och samhälle, Neurologkliniken Karolinska Universitetssjukhuset.
Institutionen för klinisk neurovetenskap, Karolinska Institutet, Neurologkliniken Karolinska Universitetssjukhuset.
Karolinska Institutet, Institutionen för Neurobiologi, vårdvetenskap och samhälle.
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2013 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 16, no 3, e24-35 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND OBJECTIVE: To a large extent, people who have suffered a stroke report unmet needs for rehabilitation. The purpose of this study was to explore aspects of rehabilitation provision that potentially contribute to self-reported met needs for rehabilitation 12 months after stroke with consideration also to severity of stroke.

METHODS: The participants (n = 173) received care at the stroke units at the Karolinska University Hospital, Sweden. Using a questionnaire, the dependent variable, self-reported met needs for rehabilitation, was collected at 12 months after stroke. The independent variables were four aspects of rehabilitation provision based on data retrieved from registers and structured according to four aspects: amount of rehabilitation, service level (day care rehabilitation, primary care rehabilitation and home-based rehabilitation), operator level (physiotherapist, occupational therapist, speech therapist) and time after stroke onset. Multivariate logistic regression analyses regarding the aspects of rehabilitation were performed for the participants who were divided into three groups based on stroke severity at onset.

RESULTS: Participants with moderate/severe stroke who had seen a physiotherapist at least once during each of the 1st, 2nd and 3rd-4th quarters of the first year (OR 8.36, CI 1.40-49.88 P = 0.020) were more likely to report met rehabilitation needs.

CONCLUSION: For people with moderate/severe stroke, continuity in rehabilitation (preferably physiotherapy) during the first year after stroke seems to be associated with self-reported met needs for rehabilitation.

Place, publisher, year, edition, pages
2013. Vol. 16, no 3, e24-35 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Hälsa och välfärd
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URN: urn:nbn:se:du-12906DOI: 10.1111/hex.12095ISI: 000323049300003PubMedID: 23796012OAI: oai:DiVA.org:du-12906DiVA: diva2:645666
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Open Access

Available from: 2013-09-05 Created: 2013-09-05 Last updated: 2017-12-06Bibliographically approved

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Tistad, Malin

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