• Bmc Fam Pract · Apr 2009

    Is primary care a neglected piece of the jigsaw in ensuring optimal stroke care? Results of a national study.

    • David L Whitford, Anne Hickey, Frances Horgan, Bernadette O'Sullivan, Hannah McGee, and Desmond O'Neill.
    • Department of Family & Community Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, PO Box 15503, Adliya, Kingdom of Bahrain. dwhitford@rcsi-mub.com
    • Bmc Fam Pract. 2009 Apr 29; 10: 2727.

    BackgroundStroke is a major cause of mortality and morbidity with potential for improved care and prevention through general practice. A national survey was undertaken to determine current resources and needs for optimal stroke prevention and care.MethodsPostal survey of random sample of general practitioners undertaken (N = 204; 46% response). Topics included practice organisation, primary prevention, acute management, secondary prevention, long-term care and rehabilitation.ResultsService organisation for both primary and secondary prevention was poor. Home management of acute stroke patients was used at some stage by 50% of responders, accounting for 7.3% of all stroke patients. Being in a structured cardiovascular management scheme, a training practice, a larger practice, or a practice employing a practice nurse were associated with structures and processes likely to support stroke prevention and care.ConclusionGeneral practices were not fulfilling their potential to provide stroke prevention and long-term management. Systems of structured stroke management in general practice are essential to comprehensive national programmes of stroke care.

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