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Redesigning rural acute stroke care: A person-centered approach


Prior, SJ and Mather, CA and Campbell, SJ, Redesigning rural acute stroke care: A person-centered approach, International Journal of Environmental Research and Public Health, 20, (2) pp. 1-12. ISSN 1660-4601 (2023) [Refereed Article]

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DOI: doi:10.3390/ijerph20021581


Stroke service delivery in rural areas in Australia lacks evidence-based, best practice care protocols as a result of limited resources and opportunity. Healthcare redesign is an approach to improving health services by understanding barriers and enablers to service provision and work with users to develop solutions for improvement. This research aimed to qualitatively evaluate stroke care in rural Tasmania using a person-centered approach, as part of a larger healthcare redesign initiative to improve acute stroke care. Semi-structured interviews, aimed at gaining insight into experiences of healthcare staff and users, were conducted. Thematic analysis revealed three global themes (communication, holistic care, and resourcing) that demonstrated some consistency between healthcare staff and user experience, highlighting that some needs and expectations were not being met. Results of this experiential study provide important perspectives for delivering needs-based improvements in service provision for acute stroke care. Overall, this study showed that systems of stroke care in rural areas could be improved by utilizing a redesign approach including healthcare staff and users in the development of solutions for health service improvement.

Item Details

Item Type:Refereed Article
Keywords:health service improvement, healthcare staff, qualitative, patient journey, person-centered, redesign, rural, stroke
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Rural and remote health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Health status (incl. wellbeing)
UTAS Author:Prior, SJ (Dr Sarah Prior)
UTAS Author:Mather, CA (Dr Carey Mather)
UTAS Author:Campbell, SJ (Professor Steven Campbell)
ID Code:154859
Year Published:2023
Deposited By:Australian Institute of Health Service Management
Deposited On:2023-01-15
Last Modified:2023-01-16

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