探索中风幸存者六个月复查的差异：英格兰当前实践的全国性调查。
Exploring variation in the six-month review for stroke survivors: a national survey of current practice in England.
作者信息
Holmes Rich, Ackerley Suzanne, Fisher Rebecca J, Connell Louise A
机构信息
Physiotherapy Department, St Richard's Hospital, University Hospitals Sussex NHS Foundation Trust, Chichester, West Sussex, PO19 6SE, UK.
Lancaster University, Lancaster, UK.
出版信息
BMC Health Serv Res. 2025 Jan 28;25(1):159. doi: 10.1186/s12913-025-12323-6.
BACKGROUND
The Six-Month Review (6MR) was introduced in the United Kingdom to provide a holistic, systematic review of the ongoing needs faced by stroke survivors. However, a theoretical underpinning regarding how it should work is lacking, potentially leading to wide variation in service provision. This study aimed to understand the current degree of variation in 6MR delivery across England and explore the potential driving factors.
METHODS
A cross-sectional study was conducted via an online survey distributed to 6MR services within England. Data were collected over 12 weeks in 2023. Descriptive statistics were used to demonstrate the degree of variation in service delivery, and associations were explored between features of the 6MR service and contextual factors.
RESULTS
Ninety-two responses were received, representing approximately 53% of 6MR services in England. Wide variation was observed in relation to service structure, content and processes, and in how outcomes, experience and effectiveness are measured. A number of significant associations were observed between features of the 6MR and contextual factors, most commonly, in relation to the provider organisation.
CONCLUSIONS
This study highlights the degree of variation in 6MR delivery across England. The provider organisation may be a driving factor for this variation that warrants further investigation. Future research should focus on understanding how, and under what circumstances, the 6MR works so that its effectiveness can be evaluated and best practice established.
背景
英国引入了六个月评估（6MR），以对中风幸存者面临的持续需求进行全面、系统的评估。然而，目前缺乏关于其运作方式的理论基础，这可能导致服务提供存在很大差异。本研究旨在了解英格兰各地6MR服务目前的差异程度，并探讨潜在的驱动因素。
方法
通过向英格兰境内的6MR服务机构开展在线调查进行横断面研究。于2023年的12周内收集数据。采用描述性统计来展示服务提供的差异程度，并探讨6MR服务的特征与背景因素之间的关联。
结果
共收到92份回复，约占英格兰6MR服务机构的53%。在服务结构、内容和流程以及结果、体验和效果的衡量方式方面均观察到了很大差异。在6MR的特征与背景因素之间观察到了一些显著关联，最常见的是与提供服务的组织有关。
结论
本研究突出了英格兰各地6MR服务提供的差异程度。提供服务的组织可能是造成这种差异的一个驱动因素，值得进一步研究。未来的研究应侧重于了解6MR如何以及在何种情况下发挥作用，以便能够评估其有效性并确立最佳实践。
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