TY - JOUR
T1 - Care Transition Interventions to Improve Stroke Outcomes
T2 - Evidence Gaps in Underserved and Minority Populations
AU - Reeves, Mathew J.
AU - Boden-Albala, Bernadette
AU - Cadilhac, Dominique A.
N1 - Funding Information:
Dr Cadilhac reports grants from National Health and Medical Research Council (Australia) including a Research Fellowship (1154273) and a grant from Amgen unrelated to this work. The other authors report no conflicts.
Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/2/1
Y1 - 2023/2/1
N2 - In many countries hospital length of stay after an acute stroke admission is typically just a few days, therefore, most of a person's recovery from stroke occurs in the community. Care transitions, which occur when there is a change in, or handoff between 2 different care settings or providers, represent an especially vulnerable period for patients and caregivers. For some patients with stroke the return home is associated with substantial practical, psychosocial, and health-related challenges leading to substantial burden for the individual and caregiver. Underserved and minority populations, because of their exposure to poor environmental, social, and economic conditions, as well as structural racism and discrimination, are especially vulnerable to the problems of complicated care transitions which in turn, can negatively impact stroke recovery. Overall, there remain significant unanswered questions about how to promote optimal recovery in the post-acute care period, particularly for those from underserved communities. Evidence is limited on how best to support patients after they have returned home where they are required to navigate the chronic stages of stroke with little direct support from health professionals.
AB - In many countries hospital length of stay after an acute stroke admission is typically just a few days, therefore, most of a person's recovery from stroke occurs in the community. Care transitions, which occur when there is a change in, or handoff between 2 different care settings or providers, represent an especially vulnerable period for patients and caregivers. For some patients with stroke the return home is associated with substantial practical, psychosocial, and health-related challenges leading to substantial burden for the individual and caregiver. Underserved and minority populations, because of their exposure to poor environmental, social, and economic conditions, as well as structural racism and discrimination, are especially vulnerable to the problems of complicated care transitions which in turn, can negatively impact stroke recovery. Overall, there remain significant unanswered questions about how to promote optimal recovery in the post-acute care period, particularly for those from underserved communities. Evidence is limited on how best to support patients after they have returned home where they are required to navigate the chronic stages of stroke with little direct support from health professionals.
UR - http://www.scopus.com/inward/record.url?scp=85146533579&partnerID=8YFLogxK
U2 - 10.1161/STROKEAHA.122.039565
DO - 10.1161/STROKEAHA.122.039565
M3 - Review Article
C2 - 36689590
AN - SCOPUS:85146533579
SN - 0039-2499
VL - 54
SP - 386
EP - 395
JO - Stroke
JF - Stroke
IS - 2
ER -