Criteria and Indicators for Centers of Clinical Excellence in Stroke Recovery and Rehabilitation: A Global Consensus Facilitated by ISRRA-Reference-Cited by-同舟云学术

Criteria and Indicators for Centers of Clinical Excellence in Stroke Recovery and Rehabilitation: A Global Consensus Facilitated by ISRRA

Published:2024-01-11 Issue:2 Volume:38 Page:87-98
ISSN:1545-9683
Container-title:Neurorehabilitation and Neural Repair
language:en
Short-container-title:Neurorehabil Neural Repair

Author:

Stockley Rachel C.¹^ORCID,Walker Marion F.²,Alt Murphy Margit³^ORCID,Azah Abd Aziz Noor⁴,Amooba Philemon⁵,Churliov Leonid⁶,Farrin Amanda⁷,Fini Natalie A.⁸,Ghaziani Emma⁹^ORCID,Godecke Erin¹⁰^ORCID,Gutierrez-Panchana Tania¹¹,Jia Jie¹²^ORCID,Kandasamy Thoshenthri¹³,Lindsay Patrice¹⁴,Solomon John¹⁵,Thijs Vincent¹⁶,Tindall Tierney¹⁷,Tippett Donna C.¹⁸,Watkins Caroline¹,Lynch Elizabeth¹³

Affiliation:

1. Stroke Research Team, School of Nursing and Midwifery, University of Central Lancashire, Preston, UK

2. School of Medicine, University of Nottingham, Nottingham, UK

3. Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Rehabilitation Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

4. Department of Family Medicine, Medical Faculty, National University of Malaysia (UKM), Bangi, Malaysia

5. Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana

6. Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia

7. Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK

8. Physiotherapy Department, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia

9. Department of Physical and Occupational Therapy, Copenhagen University Hospital-Bispebjerg and Frederiksberg Hospital and Department of Brain and Spinal Cord Injury, Copenhagen University Hospital—Rigshospitalet, Copenhagen, Denmark

10. School of Medical and Health Sciences, Edith Cowan University and Sir Charles Gairdner Osborne Park Health Care Group, Joondalup, WA, Australia

11. Clinica Alemana Universidad del Desarrollo, Concepción, Chile

12. Department of Rehabilitation, Huashan Hospital Fudan University, Shanghai, China

13. Caring Futures Institute, Flinders University, Adelaide, SA, Australia

14. Heart and Stroke Foundation of Canada, Toronto, ON, Canada

15. Centre for Comprehensive Stroke Rehabilitation and Research, Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India

16. Department of Medicine University of Melbourne, Department of Neurology Austin Health, Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia

17. Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK

18. Departments of Physical Medicine and Rehabilitation, Neurology, and Otolaryngology—Head and Neck Surgery, Johns Hopkins University, Baltimore, MD, USA

Abstract

Background The aim of the International Stroke Recovery and Rehabilitation Alliance is to create a world where worldwide collaboration brings major breakthroughs for the millions of people living with stroke. A key pillar of this work is to define globally relevant criteria for centers that aspire to deliver excellent clinical rehabilitation and generate exceptional outcomes for patients. Objectives This paper presents consensus work conducted with an international group of expert stroke recovery and rehabilitation researchers, clinicians, and people living with stroke to identify and define criteria and measurable indicators for Centers of Clinical Excellence (CoCE) in stroke recovery and rehabilitation. These were intentionally developed to be ambitious and internationally relevant, regardless of a country’s development or income status, to drive global improvement in stroke services. Methods Criteria and specific measurable indicators for CoCE were collaboratively developed by an international panel of stroke recovery and rehabilitation experts from 10 countries and consumer groups from 5 countries. Results The criteria and associated indicators, ranked in order of importance, focused upon (i) optimal outcome, (ii) research culture, (iii) working collaboratively with people living with stroke, (iv) knowledge exchange, (v) leadership, (vi) education, and (vii) advocacy. Work is currently underway to user-test the criteria and indicators in 14 rehabilitation centers in 10 different countries. Conclusions We anticipate that use of the criteria and indicators could support individual organizations to further develop their services and, more widely, provide a mechanism by which clinical excellence can be articulated and shared to generate global improvements in stroke care.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/15459683231222026

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