Stroke Research Team, School of Nursing and Midwifery, University of Central Lancashire, Preston, UK.
School of Medicine, University of Nottingham, Nottingham, UK.
Neurorehabil Neural Repair. 2024 Feb;38(2):87-98. doi: 10.1177/15459683231222026. Epub 2024 Jan 11.
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.
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.
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.
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.
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.
国际卒中康复与康复联盟的目标是创造一个世界，在这个世界里，全球合作将为数以百万计的卒中幸存者带来重大突破。这项工作的一个关键支柱是为渴望提供卓越临床康复并为患者带来卓越成果的中心定义全球相关标准。
本文介绍了一项与国际卒中康复和康复研究人员、临床医生以及卒中幸存者合作进行的共识工作，旨在确定和定义卒中康复和康复中心的临床卓越标准（CoCE），并制定可衡量的指标。这些标准旨在具有雄心壮志和国际相关性，无论一个国家的发展或收入状况如何，都能推动卒中服务的全球改善。
卒中康复和康复专家国际小组以及来自 5 个国家的消费者团体合作制定了 CoCE 的标准和具体可衡量的指标。
这些标准和相关指标按重要性排序，重点关注（i）最佳结果，（ii）研究文化，（iii）与卒中幸存者合作，（iv）知识交流，（v）领导力，（vi）教育，以及（vii）倡导。目前正在 10 个不同国家的 14 个康复中心进行标准和指标的用户测试。
我们预计，这些标准和指标的使用可以支持各个组织进一步发展其服务，更广泛地为临床卓越提供一个表达和共享的机制，以改善全球卒中护理。
