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Evidence-based practice and setting basic standards for stroke rehabilitation in Canada.

Robert Teasell1, Norine Foley, Sanjit Bhogal

  • 1Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Ontario.

Topics in Stroke Rehabilitation
|September 22, 2006
PubMed
Summary
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Canadian stroke rehabilitation care consistency varies. Key standards for effective care include early assessment, specialized therapy, and community support, forming a patient "bill of rights".

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Stroke rehabilitation care consistency is a significant concern across Canadian practice settings.
  • Evidence-based reviews highlight disparities in current stroke rehabilitation practices.

Purpose of the Study:

  • To establish critical, evidence-based standards for effective stroke rehabilitation care in Canada.
  • To define a foundational set of expectations for stroke patients, akin to a "bill of rights".

Main Methods:

  • An evidence-based review of stroke rehabilitation literature was conducted.
  • A consensus process among Canadian physiatrists identified critical care standards.

Main Results:

  • Key standards for effective stroke rehabilitation include: early assessment, rapid access to specialized interdisciplinary care, appropriate therapy intensity, outpatient therapy availability, community support, and secondary stroke prevention.

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  • Implementing these standards presents challenges, including initial costs, despite proven benefits.

    • Conclusions:

    • Adherence to defined stroke rehabilitation standards is crucial for consistent, high-quality patient care.
    • These standards should be considered the expected level of care for all stroke patients in Canada.