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| www.smw.ch |
| Geschwindner HM, Rettke H, van den Heuvel WJA, Halfens RJG, Dassen T. |
Swiss Med Wkly 2007;137:205–211
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| Original article Peer reviewed article |
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| Summary Principles: The aim of this study was to obtain an overview of stroke-specialised rehabilitation facilities in German-speaking Switzerland, as well as the numbers of stroke patients treated. It also focused on the mode of goal-setting and evaluation, and the use of instruments to assess the patient’s state and progress. Method: Out of 28 stroke rehabilitation facilities, 21 participated in a structured telephone interview. Of these, 18 institutions provided full data. Results: The results show that the facilities (n = 18) vary considerably in numbers of patients treated per year (Ø 124, range 7–500) and length of stay (Ø 40 ± 17.23). Goal-setting and evaluation, including the setting of short term and long term goals, is a common feature. They differ, however, in terms of patient involvement, processes and professions participating in goal-setting and evaluation. A variety of instruments are used for patient assessment at admission and during rehabilitation. Admission to rehabilitation does not rely on standardised patient health status assessment. Conclusions: Stroke rehabilitation in Germanspeaking Switzerland embraces a heterogeneous landscape with respect to use of instruments, goal-setting and evaluation process and patient involvement. To facilitate comparison, the same core instruments for assessment and evaluation should be selected and consistently applied. Also, the admission criterion “potential for rehabilitation” should be transformed into a universally and scientifically valid term. The effect of patient involvement in goal-setting on rehabilitation outcome has not yet been investigated. Thus no recommendations can be made for the moment. |
City of Zurich, Department of Health and the Environment, City of Zurich Nursing Centres, Zurich, Switzerland; Faculty of Health Sciences, University of Maastricht, The Netherlands University Hospital Zurich, Medical Department, Zurich, Switzerland; Faculty of Health Sciences, University of Maastricht, The Netherlands Institute for Rehabilitation Research, Hoensbroek, The Netherlands Department of Medical Sociology, University of Maastricht, The Netherlands Faculty of Health Sciences, University of Maastricht, The Netherlands Department of Nursing Science, Center for Humanities and Health Sciences, Charité Universitätsmedizin, Berlin, Germany |
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Copyright © 2007 EMH Swiss Medical Publishers Ltd. |
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