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Physiotherapists’ and occupational therapists’ perceptions of the assessment of stroke patients for musculoskeletal rehabilitation in the UK national health service

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Health 2013年第9期5卷 1478-1485页

作者： Christopher Golby gillian lewando hundt Vinesh Raja 1Institute of Digital Healthcare WMG University of Warwick Coventry UK Institute of Digital Healthcare WMG University of Warwick Coventry UK Warwick Medical School University of Warwick Coventry UK

Background and Purpose: This exploratory study focused on the assessment of stroke patients for musculoskeletal rehabilitation in the United Kingdom National Health Service. It was the first phase of research on developing telerehabilitation for the assessment of patients who have had a stroke. The assessment of stroke patients for musculoskeletal rehabilitation is currently performed at the therapist’s discretion using different outcome measures. When looking at the Department of Health’s “National Clinical Guidelines for Stroke”, it is stated that there are a variety of outcome measures, yet no particular one is recommended. It is specified that each rehabilitation sector should select its own methodologies. Aim: The aim of this exploratory study was to understand physiotherapists’ and occupational therapists’ perspectives of the strengths and weaknesses of current rehabilitative assessment of stroke patients in the UK National Health Service. Methods: This study had 2 parts, non-participant observation with 2 therapists and 3 patients, and 10 semi-structured interviews with 5 physiotherapists and 5 occupational therapists to identify current practice, problem areas, and what types of improvements could be made. Interviews were transcribed and analyzed using thematic coding. Results: Seven emergent themes were identified portraying how outcome measures are currently not being used in a standardized way within National Health Service?hospitals. This means that the feedback provided to patients, therapists and healthcare commissioners is limited. Therapists are currently performing more informal assessments each time a patient begins therapy and concerns are shown with these methods of assessment, including subjectivity, standardization issues and time. Interviewed therapists were clear that they believed that change is required within this field. Conclusions: This study raises concerns about the methodologies used for the assessment of stroke patients for rehabilit

关键词： Stroke Rehabilitation Musculoskeletal Assessment Physiotherapy Occupational Therapy

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The‘experimental public’in longitudinal health research:views of local leaders and service providers in rural South Africa

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Global Health Research and Policy 2017年第1期2卷 82-93页

作者： Rhian Twine gillian lewando hundt Kathleen Kahn MRC/Wits Rural Public Health and Health Transitions Research Unit(Agincourt) School of Public HealthFaculty of Health SciencesUniversity of the WitwatersrandJohannesburgSouth Africa Division of Health Sciences Warwick Medical SchoolUniversity of WarwickCoventryUK INDEPTH Network AccraGhana Epidemiology and Global Health Unit Department of Public Health and Clinical MedicineUmeåUniversityUmeåSweden

Background:The concept of‘experimental public’has been recently applied to publics involved in clinical *** term could also be applied to publics involved in longitudinal research such as health and demographic surveillance *** ethics of practice and public engagement with these experimental publics are of key importance and include issues of informed consent,confidentiality,collection of body tissue samples and fair local ***:Individual(n=11)and focus group(n=5)qualitative semi-structured interviews were conducted with 56 local leaders and service providers regarding their views about research activities in a longitudinal health research study site run by the MRC/Wits Rural Public Health and Health Transitions Research Unit(Agincourt)in rural South *** and inductive thematic analysis was undertaken using NVivo software to identify the emergent ***:There was an understanding of the usefulness of collecting demographic data,but reasons for gathering other contextual data such as on food security,as well as the reasons for collection of blood was less *** appreciation was expressed for feedback of individual results such as blood pressure levels during home-based data collection,there were requests for more results from biomarkers,and for these to be given at home,rather than at the *** were reports of indirect refusals,and offers by leaders to assist in reducing refusal *** were concerns about confidentiality,especially in the publication of *** leaders would have liked to receive more individual level data for planning of services,although they understood this would breach *** providers were concerned about the withdrawal of some services post intervention ***:This experimental public has,over time,developed a nuanced understanding of the reasons for research and the procedures *** concerning fair benefit ranged from requests fo

关键词： Experimental public Longitudinal health research HDSS Rural Ethics of practice

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