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[Stroke services are increasingly effective].

H J M Cools1

  • 1Leids Universitair Medisch Centrum, afd. Huisartsgeneeskunde en Verpleeghuisgeneeskunde, Postbus 2088, 230I CB Leiden. h.j.m.cools@lumc.nl

Nederlands Tijdschrift Voor Geneeskunde
|November 3, 2005
PubMed
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Dutch stroke services, integrating hospital, nursing home, and home care, have shown improved outcomes cost-effectively compared to usual care. Patient-centered outcomes aligned with the International Classification of Functioning, Disability and Health are recommended.

Area of Science:

  • Neurology
  • Public Health
  • Healthcare Management

Background:

  • The Netherlands has established 69 geographically dispersed stroke services since the UK (1988) and European (1995) stroke treatment consensus statements.
  • These services encompass integrated hospital stroke units, nursing home rehabilitation, and home care components.

Purpose of the Study:

  • To evaluate the effectiveness and cost-efficiency of the Dutch stroke service model.
  • To recommend a consensus on patient-oriented outcomes using the International Classification of Functioning, Disability and Health (ICF) framework.

Main Methods:

  • Comparative analysis of outcomes between Dutch stroke services and usual care.
  • Assessment of cost-effectiveness of the integrated stroke care model.

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Main Results:

  • The Dutch stroke services demonstrated improved patient outcomes.
  • These improvements were achieved in a cost-effective manner compared to usual care.

Conclusions:

  • The integrated Dutch stroke service model is effective and cost-efficient.
  • Establishing consensus on patient-oriented outcomes, structured by the ICF, is crucial for future stroke care evaluation.