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Centralising acute stroke care and moving care to the community in a Danish health region: Challenges in implementing a stroke care reform

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  • Douw, Karla
  • Nielsen, Camilla Palmhøj
  • Pedersen, Camilla Riis

Abstract

In May 2012, one of Denmark's five health care regions mandated a reform of stroke care. The purpose of the reform was to save costs, while at the same time improving quality of care. It included (1) centralisation of acute stroke treatment at specialised hospitals, (2) a reduced length of hospital stay, and (3) a shift from inpatient rehabilitation programmes to community-based rehabilitation programmes. Patients would benefit from a more integrated care pathway between hospital and municipality, being supported by early discharge teams at hospitals.

Suggested Citation

  • Douw, Karla & Nielsen, Camilla Palmhøj & Pedersen, Camilla Riis, 2015. "Centralising acute stroke care and moving care to the community in a Danish health region: Challenges in implementing a stroke care reform," Health Policy, Elsevier, vol. 119(8), pages 1005-1010.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:8:p:1005-1010
    DOI: 10.1016/j.healthpol.2015.05.007
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    References listed on IDEAS

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    1. Christiansen, Terkel, 2012. "Ten years of structural reforms in Danish healthcare," Health Policy, Elsevier, vol. 106(2), pages 114-119.
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    Cited by:

    1. VAN DER LINDEN, M. Christien & VAN DER LINDEN, Naomi & LAM, Rianne C. & STAP, Peter & VAN DEN BRAND, Crispijn L. & VERMEULEN, Tamara & JELLEMA, Korné & VAN DEN WIJNGAARD, Ido R., 2021. "Impact of ongoing centralization of acute stroke care from “drip and ship” into “direct-to-mothership” model in a Dutch urban area," Health Policy, Elsevier, vol. 125(8), pages 1040-1046.
    2. McHugh, Sheena & Droog, E. & Foley, Conor & Boyce, M. & Healy, O. & Browne, J.P., 2019. "Understanding the impetus for major systems change: A multiple case study of decisions and non-decisions to reconfigure emergency and urgent care services," Health Policy, Elsevier, vol. 123(8), pages 728-736.
    3. Bryndová, Lucie & Bar, Michal & Herzig, Roman & Mikulík, Robert & Neumann, Jiří & Šaňák, Daniel & Škoda, Ondřej & Školoudík, David & Václavík, Daniel & Tomek, Aleš, 2021. "Concentrating stroke care provision in the Czech Republic: The establishment of Stroke Centres in 2011 has led to improved outcomes," Health Policy, Elsevier, vol. 125(4), pages 520-525.

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