Consensus development of components of continuity of care for stroke patients: a Delphi methodology
- 5 Downloads
The study aimed to develop consensus on the components of continuity of care for stroke patients in the cultural context of China.
Subjects and methods
Thirteen experts were recruited purposefully to finish this study. A Delphi approach was adopted to reach consensus on the components of continuity of care, and 75% agreement was used as cutoff.
Three rounds of consultation were completed. Consensus (75% agreement) was obtained on 45 of the 49 statements. The final agreed list of statements represented three domains: the structure, process and outcome of continuity of care.
It represents the first attempt to develop consensus on the components of continuity of care for Chinese patients with stroke. According to the established framework and components of continuity of care, health professionals can successfully implement continuity of care for stroke patients and improve the quality of care.
KeywordsContinuity of care Stroke Rehabilitation Delphi method
We thank all the experts that consented to take part in our study. This study was funded by the Southern Medical University, grant Q2016002.
This study was funded by the Southern Medical University, grant Q2016002.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that there is no conflict of interest regarding the publication of this paper.
- Donabedian A (2003) An introduction to quality assurance in health care, vol 1, 1st edn. Oxford University Press, New YorkGoogle Scholar
- Lynch EB, Butt Z, Heinemann A, Victorson D, Cindy JN, Lori P, Cella D (2008) A qualitative study of quality of life after stroke: the importance of social relationships. Journal of Rehabilitation Medicine Official Journal of the Uems European Board of Physical & Rehabilitation Medicine 40(7):518–523CrossRefGoogle Scholar
- Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CF, Askham J, Marteau T (1998) Consensus development methods, and their use in clinical guideline development. Health Technol Assess 2(3):1–88Google Scholar
- Olson DM, Bettger JP, Alexander KP, Kendrick AS, Irvine JR, Wing L, Coeytaux RR, Dolor RJ, Duncan PW, Graffagnino C (2011) Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation, recovery, and secondary prevention. Evidence Report/technology Assessment 202(202):1Google Scholar
- Philp I, Brainin M, Walker MF, Ward AB, Gillard P, Shields AL, Norrving B (2013) Development of a poststroke checklist to standardize follow-up care for stroke survivors. Journal of Stroke & Cerebrovascular Diseases the Official Journal of National Stroke Association 22(7):173–180CrossRefGoogle Scholar
- Reid R (2002) Defusing the Confusion: Concepts and Measures of Continuity of Healthcare. Canadian Health Services Research Foundation, OttawaGoogle Scholar
- Vella K, Goldfrad C, Rowan K, Bion J, Black N (2000) Use of consensus development to establish national research priorities in critical care. BMJ 13(4):163Google Scholar
- Wang D, Wu L, Zhang XF (2016) Application effects of structure-process-outcome three dimensional quality assessment model on transitional care in patients with COPD. Chin J Mod Nurs 22(2):156–159Google Scholar
- Ytterberg C, Thorsén AM, Liljedahl M, Holmqvist LW, von Koch L (2010) Changes in perceived health between one and five years after stroke: a randomized controlled trial of early supported discharge with continued rehabilitation at home versus conventional rehabilitation. J Neurol Sci 294(1):86–88CrossRefPubMedGoogle Scholar