Mapping rehabilitation resources for head injury
- PMID: 15286191
- PMCID: PMC1079558
- DOI: 10.1177/014107680409700806
Mapping rehabilitation resources for head injury
Abstract
Several reports have pointed to the unevenness in the UK of services for rehabilitation after head injury. A study was conducted in the Eastern Region of England to define the key stages in recovery and rehabilitation, by an iterative process of questionnaire, interview and consensus conference. Findings were translated into a draft set of maps showing current availability of services which were revised after feedback. Working groups then developed a set of definitions and classification codes for each stage of rehabilitation which were likewise disseminated for feedback. The maps were then redrafted to correspond with the definitions together with a flowchart of potential head injury rehabilitation services. The definitions were piloted at a regional neurosurgery unit and a rehabilitation hospital. Core services for neurorehabilitation region-wide were found to be variable and uncoordinated with fragmented and inequitable allocation of resources. The definitions and mapping system that emerged from this study should facilitate the design of care pathways for patients and identify gaps in the services.
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Comment in
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Neurorehabilitation.J R Soc Med. 2004 Oct;97(10):503-4. doi: 10.1177/0141076809701019. J R Soc Med. 2004. PMID: 15459269 Free PMC article. No abstract available.
References
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- Tennant A. The epidemiology of head injury. In: Chamberlain MA, Neumann V, Tennant A, eds. Traumatic Brain Injury Rehabilitation. London: Chapman & Hall, 1995
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- British Society of Rehabilitation Medicine. Rehabilitation after Traumatic Brain Injury. London: Royal College of Physicians, 1998: 8
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- Royal College of Surgeons of England. Report of the Working Party on the Management of Patients with Head Injuries. London: RCS, 1999
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- Society of British Neurosurgeons. Safe Neurosurgery 2000. London: SBNS, 2000
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