2020
DOI: 10.1016/j.arrct.2019.100037
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Patient Factors Associated With Attendance at a Comprehensive Postacute Stroke Visit: Insight From the Vanguard Site

Abstract: Objective To understand the patient-influenced activities and characteristics associated with return to a single postacute care transitional care clinic visit in a cohort of patients cared for at the test health system site of the larger Comprehensive Post-Acute Stroke Services (COMPASS) cluster randomized trial. Design Retrospective cohort. Setting A large health system. Participants Patients discharged directly h… Show more

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Cited by 3 publications
(4 citation statements)
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References 25 publications
(17 reference statements)
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“…The clinical coordinator contacted these patients via phone to schedule an appointment by 3 months. The benefit of post-discharge telephone communication and patient reminders has previously been established, 1 and our findings support this approach as a potential mechanism to benefit other patient groups with follow-up reminders after discharge.…”
Section: Discussionsupporting
confidence: 81%
See 1 more Smart Citation
“…The clinical coordinator contacted these patients via phone to schedule an appointment by 3 months. The benefit of post-discharge telephone communication and patient reminders has previously been established, 1 and our findings support this approach as a potential mechanism to benefit other patient groups with follow-up reminders after discharge.…”
Section: Discussionsupporting
confidence: 81%
“…Outpatient follow-up after acute stroke plays a significant role in optimizing patient care, secondary stroke prevention and reducing morbidity and mortality. 1 As the risk of recurrent stroke is highest within the first six months following stroke, prompt outpatient follow-up is essential for secondary prevention of future complications and minimizing the risk of hospital readmission. 2 , 3 , 4 Outpatient in-person follow-up represents one strategy.…”
Section: Introductionmentioning
confidence: 99%
“…Other lessons learned from Comprehensive Post-Acute Stroke Services are that there were a few patient-level barriers that were critical for implementation of the new model of care, but the most important was that transportation and distance from the clinic prevented patients from keeping the appointment to receive the care plan. 53 In addition, there was no impact of the Comprehensive Post-Acute Stroke Services model of care on readmissions at 90 days or 1 year, and this clearly pointed to the fact that stroke care needs to continue beyond the transitional period of the first 30 days post-discharge. 77 The TEAMS-BP intervention spans the first 6 months after discharge, and also includes health coaching to reinforce the care plan with the patient and caregiver over time.…”
Section: Ongoing Telehealth Trials For Outpatient Management Of Strok...mentioning
confidence: 99%
“…With limited access to stroke subspecialists in many regions, going to in-person appointments may involve traveling long distances. 53 Remote care, especially in home, is an appealing solution to these barriers to care. Additionally, stroke survivors who transition to skilled nursing facilities or inpatient rehabilitation centers could also benefit from remote neurology follow-up visits.…”
Section: Potential Advantages Of Telehealth For Poststroke Carementioning
confidence: 99%