Original Title: Organisation des services en matière d’accident vasculaire cérébral

Authors' recommendations: At the end of this assessment, INESSS identified several points of consensus on the expected characteristics of the main structures that should provide services along the continuum of stroke care, and on the optimal pathways for patients or clients in the hyperacute, acute and post-acute phases. Relating these to the particular context of Quebec allowed for concrete proposals chiefly regarding the following points: hierarchical organization of acute care hospitals, with links for patient transfer; timely access to diagnostic imaging; development of stroke units in all secondary and tertiary acute care hospitals with the critical volume of patients required to maintain expertise; timely access to thrombolysis through the use of prehospital service pathways; clinical decision support and local administration of intravenous thrombolysis through telemedicine in primary acute care hospitals unequipped with stroke units in remote regions; early rehabilitation for all stroke patients, regardless of the type of hospital where they are admitted; participation of patients and their families/informal caregivers throughout the care process; planning of early supported discharge; equitable eligibility criteria for specialized rehabilitation services, whether offered in an institution, on an outpatient basis, or at home; access to local follow-up services offered by CSSS (Centres de santé et de services sociaux), including community reintegration support and non-specialized rehabilitation, after the specialized rehabilitation stage; timely access to secondary prevention clinics linked to hospital services and primary care; application of clinical practice guidelines by all healthcare professionals; periodic performance measurement, coupled with feedback to all stakeholders concerned. The MSSS expert working group is continuing its work defining the organizational models and tools to support for Quebec, including such issues as the appropriateness and feasibility of on-call stroke triage teams, clinical triage instruments, organizational models for secondary prevention, clinical tools used in rehabilitation and telestroke.

Project Status: Completed

Year Published: 2011

URL for published report: https://www.inesss.qc.ca/publications/repertoire-des-publications/publication/organisation-des-services-en-matiere-daccident-vasculaire-cerebral.html

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Canada

Organisation Name: Institut national d'excellence en sante et en services sociaux

Contact Address: L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369

Contact Name: demande@inesss.qc.ca

Contact Email: demande@inesss.qc.ca

Copyright: <p>L'Institut national d'excellence en sante et en services sociaux (INESSS)</p>