Open Access
Subscription Access
In-hospital delays for stroke care: losing sight of patient-centered care
Abstract
The emergence of patient-centered care has offered a challenge for health professionals in some settings to fully engage patients in all stages of the care process. For example, stroke is a condition that requires urgent and comprehensive care. This comprehensive care may be provided to patients who are experiencing compromised cognitive and communication skills. In addition, “in-hospital delays” in care can occur during the process of evaluation and treatment. In-hospital delays in receipt of acute stroke care and the challenges of post-stroke cognitive and communication functioning can result in some patients having negative perceptions of the care process. This brief communication is an exploration of focus group data that suggest achieving the key elements of patient-centered care is challenging in acute care settings that provide care for complex conditions such as stroke.
Keywords
References
Roger, V.L., Go, A.S., Lloyd-Jones, D.M., Benjamin, E.J., Berry, J.D., Borden, W.B., Bravata, D.M., Dai, S., Ford, E.S., Fox, C.S., et al. (2012). Executive summary: heart disease and stroke statistics - 2012 update: a report from the American Heart Association. Circulation 125 (1) 188-197.
World Health Organization. (2012). Global Burden of Stroke. Available at: http://www.who.int/cardiovascular_diseases/en/cvd_atlas_15_burden_stroke.pdf.
Moser, D.K., Kimble, L.P., Alberts, M.J., Alonzo, A., Croft, J.B., Dracup, K., Evenson, K.R., Go, A.S., Hand, M.M., Kothari, R.U., Mensah, G.A., Morris, D.L., Pancioli, A.M., Riegel, B. & Zerwic, J.J. (2006). Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council. Circulation 114 (2) 168-182.
Duncan, P.W., Zorowitz, R., Bates, B., Choi, J.Y., Glasberg, J.J., Graham, G.D., Katz, R.C., Lamberty, K. & Reker, D. (2005). Management of Adult Stroke Rehabilitation Care: a clinical practice guideline. Stroke 36 (9) e100-143.
Morris, D.L., Rosamond, W., Madden, K., Schultz, C. & Hamilton, S. (2000). Prehospital and emergency department delays after acute stroke: the Genentech Stroke Presentation Survey. Stroke 31 (11) 2585-2590.
The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. (1995). Tissue plasminogen activator for acute ischemic stroke New England Journal of Medicine 333 (24) 1581-1587.
Smith, M.A., Doliszny, K.M., Shahar, E., McGovern, P.G., Arnett, D.K. & Luepker, R.V. (1998). Delayed hospital arrival for acute stroke: the Minnesota Stroke Survey. Annals of Internal Medicine 129 (3) 190-196.
Evenson, K.R., Foraker, R.E., Morris, D.L. & Rosamond, W.D. (2009). A comprehensive review of prehospital and in-hospital delay times in acute stroke care. International Journal of Stroke 4 (3) 187-199.
Lacy, C.R., Suh, D.C., Bueno, M. & Kostis, J.B. (2001). Delay in presentation and evaluation for acute stroke: Stroke Time Registry for Outcomes Knowledge and Epidemiology (S.T.R.O.K.E.). Stroke 32 (1) 63-69.
Centers for Disease C, Prevention. (2007). Prehospital and hospital delays after stroke onset--United States, 2005-2006. Morbidity and Mortality Weekly Report (MMWR) 56 (19) 474-478.
Institute of Medicine (IOM). (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press.
Bechtel, C. & Ness, D.L. (2010). If you build it, will they come? Designing truly patient-centered health care. Health Affairs (Millwood) 29 (5) 914-920.
Krumholz, H.M. (2011). Patient-centered medicine: the next phase in health care. Circulation: Cardiovascular Quality and Outcomes 4 (4) 374-375.
Bardes, C.L. (2012). Defining "patient-centered medicine". New England Journal of Medicine 366 (9) 782-783.
Nordehn, G., Meredith, A. & Bye, L. (2006). A preliminary investigation of barriers to achieving patient-centered communication with patients who have stroke-related communication disorders. Topics in Stroke Rehabilitation 13 (1) 68-77.
Epstein, R.M. & Street, R.L., Jr. (2011). The values and value of patient-centered care. Annals of Family Medicine 9 (2) 100-103.
Kupfer, J.M. & Bond, E.U. (2012). Patient satisfaction and patient-centered care: necessary but not equal. Journal of the American Medical Association 308 (2) 139-140.
Adams, H.P., Jr., del Zoppo, G., Alberts, M.J., Bhatt, D.L., Brass, L., Furlan, A., Grubb, R.L., Higashida, R.T., Jauch, E.C., Kidwell, C., et al. (2007). Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke 38 (5) 1655-1711.
Miles, A. & Mezzich, J.E. (2011). The care of the patient and the soul of the clinic: person-centered medicine as an emergent model of modern clinical practice. International Journal of Person Centered Medicine 1(2) 207-222.
Miles, A. & Mezzich, J.E. (2011). The patient, the illness, the doctor, the decision: negotiating a 'new way' through person-centered medicine. International Journal of Person Centered Medicine 1 (4) 637-640.
Miles, A. & Mezzich, J.E. (2012). Person-centered medicine: addressing chronic illness and promoting future health. International Journal of Person Centered Medicine 2 (2) 149-152.
Miles, A. (2012). Person-centered medicine - at the intersection of science, ethics and humanism. International Journal of Person Centered Medicine 2 (3) 329-333.
DOI: http://dx.doi.org/10.5750/ejpch.v1i2.673
Refbacks
- There are currently no refbacks.