Luther A, Lincoln N B, Grant F
Stroke Research Unit, City Hospital NHS Trust, Nottingham, UK.
Clin Rehabil. 1998 Jun;12(3):238-44. doi: 10.1191/026921598671668617.
To compare stroke patients' reports with service providers' reports on the rehabilitation services patients receive.
Community, predominantly urban.
Ninety-three stroke patients who had not been admitted to hospital.
Between August 1994 and August 1996, 54 general practitioner practices in Nottingham (population 344 200) were requested to notify the Nottingham Community Stroke Project of all cases of stroke. Patients were visited one month after stroke and asked to report on whether they had received any hospital, social, community or voluntary services. Some departments were contacted and asked if the patients were known to them and whether they had been seen.
Patients reported having little contact with hospital or social services. Comparison of patients' reports with that of the appropriate service department showed poor agreement for community care assistants (kappa = 0.18), fair agreement for social workers (kappa = 0.59), speech therapy (kappa = 0.48), hospital outpatient appointments (kappa = 0.55) and admissions to hospital (kappa = 0.48) and good agreement for social services occupational therapists (kappa = 0.64).
Stroke patients' and service providers' reports on rehabilitation services may not always agree. Care should be taken when interpreting information on service provision.
比较中风患者与服务提供者对患者所接受康复服务的报告。
社区，主要为城市社区。
93名未住院的中风患者。
1994年8月至1996年8月期间，要求诺丁汉市（人口344200）的54家全科医生诊所将所有中风病例通知诺丁汉社区中风项目。中风后1个月对患者进行访视，询问他们是否接受过任何医院、社会、社区或志愿组织提供的服务。联系了一些部门，询问他们是否了解这些患者以及是否对其进行过诊治。
患者报告与医院或社会服务机构接触较少。将患者的报告与相应服务部门的报告进行比较，发现社区护理助理的一致性较差（kappa值=0.18），社会工作者的一致性一般（kappa值=0.59），言语治疗的一致性一般（kappa值=0.48），医院门诊预约的一致性一般（kappa值=0.55），住院的一致性一般（kappa值=0.48），社会服务职业治疗师的一致性较好（kappa值=0.64）。
中风患者与服务提供者对康复服务的报告可能并不总是一致。在解读服务提供信息时应谨慎。
