Original Research
An evaluation of the structure and process of stroke rehabilitation in primary, secondary and tertiary hospitals in Ghana
Submitted: 21 October 2021 | Published: 23 May 2022
About the author(s)
Tawagidu Mohammed, Department of Physiotherapy, School of Healthcare Sciences, University of Pretoria, Pretoria, South Africa; and, Department of Physiotherapy, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, GhanaGifty G. Nyante, Department of Physiotherapy, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
Diphale J. Mothabeng, Department of Physiotherapy, School of Healthcare Sciences, University of Pretoria, Pretoria, South Africa
Abstract
Background: Evidence shows that quality indicators such as the structure and process of stroke rehabilitation can influence patient outcomes. However, not much attention has been paid to the study of these issues in low- and middle-income countries such as Ghana.
Objectives: Our study evaluated the structure and process of stroke rehabilitation in primary, secondary and tertiary hospitals in the Greater Accra Region of Ghana.
Method: A cross-sectional survey was conducted involving 111 healthcare professionals. The World Health Organization (WHO) situational analysis and Measure of Processes of Care for Service Providers for Adults (MPOC-SP[A]) questionnaires were administered to gather information on the structure and process of stroke rehabilitation. Descriptive statistics were used to summarise data, and chi-square and Kruskal–Wallis tests were used to establish associations and comparisons, respectively.
Results: A stroke unit was only available in the tertiary hospital. Although all three hospitals had a multidisciplinary team approach to care, the constituents differed. Length of hospital-stay, duration of treatment and basis for discharge from acute care were not associated with the hospitals. Therapy sessions, access to computed tomography (CT) and magnetic resonance imaging (MRI) scanning were dependent on the hospitals.
Conclusion: The structure and process of stroke rehabilitation across the three hospitals were similar in some constructs and different in others.
Clinical implications: Data gathered will help to provide information on the available structure and processes of stroke rehabilitation, which could help assess the quality of care provided.
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Crossref Citations
1. Perceptions of health professionals on structure and process of stroke rehabilitation in Ghana
Tawagidu Mohammed, Gifty G. Nyante, Joyce D. Mothabeng
African Journal of Disability vol: 12 year: 2023
doi: 10.4102/ajod.v12i0.1116