Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-16T20:19:46.256Z Has data issue: false hasContentIssue false
  • English
  • Français

Provision of Rehabilitation Services in Québec Following Stroke: A Comparative Survey Conducted by Postal Questionnaire*

Published online by Cambridge University Press:  14 May 2010

Claude Vincent ,
Line Robichaud ,
Johanne Desrosiers ,
Sylvie Belleville ,
Louise Demers ,
Chantal Viscogliosi  and
Isabelle Deaudelin
Claude Vincent*
Affiliation:
Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Institut de réadaptation en déficience physique de Québec Département de réadaptation, Université Laval
Line Robichaud
Affiliation:
Département de réadaptation, Université Laval
Johanne Desrosiers
Affiliation:
Research Centre on Aging, Institut universitaire de gériatrie de Sherbrooke School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke
Sylvie Belleville
Affiliation:
Research Centre, Institut universitaire de gériatrie de Montréal
Louise Demers
Affiliation:
Research Centre, Institut universitaire de gériatrie de Montréal School of Rehabilitation, Université de Montréal
Chantal Viscogliosi
Affiliation:
Research Centre on Aging, Institut universitaire de gériatrie de Sherbrooke
Isabelle Deaudelin
Affiliation:
Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Institut de réadaptation en déficience physique de Québec
*
†Correspondence concerning this article should be addressed to / La correspondance concernant cet article doit être adressées à: Claude Vincent, OT, Ph.D., Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Institut de réadaptation en déficience physique de Québec. 525, Wilfrid-Hamel Blvd East, Québec (Québec), G1M 2S8, Canada ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

We conducted a survey to document the rehabilitation services available to clients aged 65 years and older who had suffered a stroke. In all, respondents – gleaned from 295 resources located in three health regions in the province of Québec – completed a postal questionnaire describing the services that they offer, in terms of type of intervention (related to nine capabilities and seven areas of social participation) and type of services (evaluation, rehabilitation, and support). The results show that most rehabilitation services offered to older people with stroke address motor skills and mobility. Somewhat unexpectedly, for four capability-related interventions and two social-participation-related interventions, there appear to be more active rehabilitation services offered in regions with rural areas than in metropolitan regions.

Résumé

Il n’existe pas de données sur l’offre de service en réadaptation pour les aînés ayant subi un accident vasculaire cérébral (AVC) selon le type de régions. Une enquête a permis de documenter l’offre des services de réadaptation proposés à la clientèle aînée de 65 ans et plus ayant subi un AVC. Au total, les répondants de 295 ressources localisées dans trois régions sociosanitaires du Québec ont complété un questionnaire postal décrivant les services offerts en termes de type d’interventions (associées à neuf aptitudes et à sept domaines de participation sociale) et de type de services (évaluation, réadaptation active, maintien). Les résultats indiquent que l’offre de services de réadaptation proposée par le plus grand nombre de ressources aux personnes âgées ayant subi un AVC concerne les aptitudes motrices et les déplacements. De façon inattendue, au niveau d’interventions associées à quatre aptitudes et à deux domaines de participation sociale, l’offre de services en réadaptation active apparaît plus élevée dans les régions incluant des zones rurales qu’en région métropolitaine.

Keywords

services post-AVCaccessibilité de servicesréadaptation intensiveréadaptation activeparticipation socialedésaccord régionalpost-stroke servicesservice accessibilityintensive rehabilitationsocial participationregional discrepancy
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 29 , Issue 2 , June 2010 , pp. 193 - 203
Copyright
Copyright © Canadian Association on Gerontology 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

This study was carried out with the financial support of the Canadian Institutes of Health Research (grant # 62953). The publication of this manuscript (in English) was financially supported by the Quebec Network for research on Aging. We would also like to sincerely thank the participants and all the organizations who gave their time.

References

American Heart Association Statistics Committee and Stroke Statistics Subcommittee. (2006). Heart disease and stroke statistics—2006 update. Circulation, 113, e85.Google Scholar
Association des établissements en réadaptation en déficience physique du Québec. (2003). La réadaptation: Un investissement rentable dans le capital humain. Orientations stratégiques 2003–2005 Canada: Author. Retrieved April 1, 2009, from http://www.aerdpq.org/Docs/Orientations_strat%E9giques2003-2005_%28version_fran%E7aise%29.pdf.Google Scholar
Boter, H., Rinkel, G.J.E., & de Haan, R.J. (2004). Outreach nurse support after stroke: A descriptive study on patients’ and carers’ needs, and applied nursing interventions. Clinical Rehabililitation, 18, 156–163.CrossRefGoogle Scholar
Britton, M., & Andersson, A. (2000). Home rehabilitation after stroke. Reviewing the scientific evidence on effects and costs. International Journal of Technology Assessment in Health Care, 16, 842–848.CrossRefGoogle ScholarPubMed
Burton, C.R. (2000). Living with stroke: A phenomenological study. Journal of Advanced Nursing, 32, 301–309.CrossRefGoogle ScholarPubMed
Canadian Institute for Health Promotion. (2003). Health Indicators November 2003. Catalogue no. 82-221-XIE, Volume 2003, No. 2. Ottawa/ Toronto/ Montréal/ Edmonton/ Victoria/ Canada: Author. Retrieved April 1, 2009, from http://www.cihi.ca/indicators/fr/regions_f.shtmlGoogle Scholar
Comité sur la réévaluation du mode de budgétisation des centres locaux de services communautaires (CLSC) et des centres d´hébergement et de soins de longue durée (CHSLD). (2002). L’allocation des ressources et la budgétisation des services de CLSC et de CHSLD. Rapport déposé le 2 juin. Québec, Canada: Santé et services sociaux Québec. Retrieved December 13, 2007, from http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2002/02-604-02.pdfGoogle Scholar
Desnoyers, D., & Lagacé, C. (1995). La réadaptation: Tendances et perspectives. Synthèse d’une recension d’écrits. Collection La reconfiguration du réseau. Montréal, Quebec, Canada: Association des hôpitaux du Québec.Google Scholar
Dillingham, T.R., Pezzin, L.E., & Mackenzie, E.J. (2002). Limb amputation and limb deficiency in the United States: An epidemiological analysis. Southern Medical Journal, 95, 875–873.Google Scholar
Direction générale de la planification et de l’évaluation & ministère de la Santé et des Services sociaux. (1998). Le virage ambulatoire en santé physique: Enjeux et perspective. Québec, Canada: Ministère de la Santé et desServices sociaux.Google Scholar
Fougeyrollas, P., Noreau, L., Bergeron, H., Cloutier, R., Dion, S.A., & St-Michel, G. (1998). Social consequences of long term impairments and disabilities: Conceptual approach and assessment of handicap. International Journal of Rehabilitation Research, 21, 127–141.CrossRefGoogle ScholarPubMed
Garrett, D., & Cowdell, F. (2005). Information needs of patients and carers following stroke. Nursing Older People, 17, 14–16.CrossRefGoogle ScholarPubMed
Grimaud, M.A., Jean, M.S., & Contandriopoulos, A.P. (2006). Allocations des ressources en santé: Une problématique complexe. Ruptures, revue transdisciplinaire en santé, 11(1), 10–14.Google Scholar
Hare, R., Rogers, H., Lester, H., McManus, R., & Mant, J. (2006). What do stroke patients and their carers want from community services? Family Practice, 23, 131–136.CrossRefGoogle ScholarPubMed
Heath, G.W., & Fenton, P.H. (1997). Physical activities among persons with disabilities. A public health perspective. Exercise and Sport Sciences Reviews, 25, 195–234.CrossRefGoogle ScholarPubMed
Hébert, R., & Instituts de recherche en santé du Canada. (mai 2002). La recherche sur le vieillissement: Un apport de données à la rescousse du système de santé canadien. Conference presented at Commission Romanow. Ottawa, Ontario, Canada. Retrieved December 13, 2007, from http://www.cihr-irsc.gc.ca/f/10519.htmlGoogle Scholar
Kumlien, S., Axelsson, K., Ljunggren, G., & Winblad, B. (1999). Stroke patients ready for discharge from acute care: A multidimensional assessment of functions and further care. Disability and Rehabilitation, 21, 31–38.CrossRefGoogle ScholarPubMed
Lebel, P. (1997). Services gérontologiques et gériatriques. In Dans Arcand, M. & Hébert, R. (Eds.), Précis pratique de gériatrie. St-Hyacinthe, Quebec, Canada: Maloine.Google Scholar
Lincoln, N.B., Gladman, J.R.F., Berman, P., Luther, A., & Challen, K. (1998). Rehabilitation needs of community stroke patients. Disability and Rehabilitation, 20, 457–463.CrossRefGoogle ScholarPubMed
Liu, K.P.Y., Chan, C.C.H., & Chan, F. (2005). Would discussion on patients’ needs add value to the rehabilitation process? International Journal of Rehabilitation Research, 28, 1–7.CrossRefGoogle Scholar
Mayo, N.E., Wood-Dauphinee, S., Ahmed, S., Gordon, C., Higgins, J., McEwen, S., et al. . (1999). Disablement following stroke. Disability and Rehabilitation, 21, 258–268.CrossRefGoogle ScholarPubMed
Ministère de la Santé et des Services sociaux. (2007). La mission. Les organisations régionales. Quebec, Canada: Author. Retrieved December 13, 2007, from http://www.msss.gouv.qc.ca/ministere/mission.phpGoogle Scholar
Pell, J.P., Donnan, P.T., Fowkes, F.G., & Ruckley, C.V. (1993). Quality of life following lower limb amputation for peripheral arterial disease. European Journal of Vascular Surgery, 7(4), 448–451.CrossRefGoogle ScholarPubMed
Robinson, K.M. (2000). Efficacy of home care rehabilitation interventions. Annals of Long-Term Care, 8, 68–71.Google Scholar
Stroke Unit Trialists’ Collaboration. (1997). Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. British Medical Journal, 314, 1151–1159.CrossRefGoogle Scholar
Talbot, L.R., Viscogliosi, C., Desrosiers, J., Vincent, C., Rousseau, J., & Robichaud, L. (2004). Identification of rehabilitation needs after a stroke: An exploratory study. Health and Quality of Life Outcomes, 2(1), 53–61.CrossRefGoogle ScholarPubMed
Tangeman, P.T., Banatis, D.A., & Williams, A.K. (1990). Rehabilitation of chronic stroke patients: Changes in functional performance. Archives of Physical Medicine and Rehabilitation, 71, 876–880.Google ScholarPubMed
Tooth, L., & Hoffmann, T. (2004). Patient perceptions of the quality of information provided in a hospital stroke rehabilitation unit. British Journal of Occupational Therapy, 67, 111–117.CrossRefGoogle Scholar
Trahan, L., Bélanger, L., & Bolduc, M. (1993). Une évaluation de la prestation de services dans les C.L.S.C. et les centres hospitaliers. Pour des services de qualité aux personnes âgées en perte d’autonomie. Québec, Canada: Ministère de la santé et des services sociaux, Direction générale.Google Scholar
U.S. Department of Health and Human Services. (1995). Public Health Service, Quick Reference Guide for Clinicians, no. 16, Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
Vincent, C., Deaudelin, I., Robichaud, L., Rousseau, J., Viscogliosi, C., Talbot, L.R., et al. . (2007). Rehabilitation needs for older adults with stroke living at home: Perceptions of four populations. BMC Geriatrics, 7, 20. Retrieved August 20, 2007, from http://www.biomedcentral.comCrossRefGoogle ScholarPubMed