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Provision of Rehabilitation Services in Québec Following Stroke: A Comparative Survey Conducted by Postal Questionnaire*

Published online by Cambridge University Press:  14 May 2010

Claude Vincent ,
Line Robichaud ,
Johanne Desrosiers ,
Sylvie Belleville ,
Louise Demers ,
Chantal Viscogliosi  and
Isabelle Deaudelin
Claude Vincent*
Affiliation:
Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Institut de réadaptation en déficience physique de Québec Département de réadaptation, Université Laval
Line Robichaud
Affiliation:
Département de réadaptation, Université Laval
Johanne Desrosiers
Affiliation:
Research Centre on Aging, Institut universitaire de gériatrie de Sherbrooke School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke
Sylvie Belleville
Affiliation:
Research Centre, Institut universitaire de gériatrie de Montréal
Louise Demers
Affiliation:
Research Centre, Institut universitaire de gériatrie de Montréal School of Rehabilitation, Université de Montréal
Chantal Viscogliosi
Affiliation:
Research Centre on Aging, Institut universitaire de gériatrie de Sherbrooke
Isabelle Deaudelin
Affiliation:
Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Institut de réadaptation en déficience physique de Québec
*
†Correspondence concerning this article should be addressed to / La correspondance concernant cet article doit être adressées à: Claude Vincent, OT, Ph.D., Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Institut de réadaptation en déficience physique de Québec. 525, Wilfrid-Hamel Blvd East, Québec (Québec), G1M 2S8, Canada ([email protected])
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Abstract

We conducted a survey to document the rehabilitation services available to clients aged 65 years and older who had suffered a stroke. In all, respondents – gleaned from 295 resources located in three health regions in the province of Québec – completed a postal questionnaire describing the services that they offer, in terms of type of intervention (related to nine capabilities and seven areas of social participation) and type of services (evaluation, rehabilitation, and support). The results show that most rehabilitation services offered to older people with stroke address motor skills and mobility. Somewhat unexpectedly, for four capability-related interventions and two social-participation-related interventions, there appear to be more active rehabilitation services offered in regions with rural areas than in metropolitan regions.

Résumé

Il n’existe pas de données sur l’offre de service en réadaptation pour les aînés ayant subi un accident vasculaire cérébral (AVC) selon le type de régions. Une enquête a permis de documenter l’offre des services de réadaptation proposés à la clientèle aînée de 65 ans et plus ayant subi un AVC. Au total, les répondants de 295 ressources localisées dans trois régions sociosanitaires du Québec ont complété un questionnaire postal décrivant les services offerts en termes de type d’interventions (associées à neuf aptitudes et à sept domaines de participation sociale) et de type de services (évaluation, réadaptation active, maintien). Les résultats indiquent que l’offre de services de réadaptation proposée par le plus grand nombre de ressources aux personnes âgées ayant subi un AVC concerne les aptitudes motrices et les déplacements. De façon inattendue, au niveau d’interventions associées à quatre aptitudes et à deux domaines de participation sociale, l’offre de services en réadaptation active apparaît plus élevée dans les régions incluant des zones rurales qu’en région métropolitaine.

Keywords

services post-AVCaccessibilité de servicesréadaptation intensiveréadaptation activeparticipation socialedésaccord régionalpost-stroke servicesservice accessibilityintensive rehabilitationsocial participationregional discrepancy
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 29 , Issue 2 , June 2010 , pp. 193 - 203
Copyright
Copyright © Canadian Association on Gerontology 2010

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Footnotes

*

This study was carried out with the financial support of the Canadian Institutes of Health Research (grant # 62953). The publication of this manuscript (in English) was financially supported by the Quebec Network for research on Aging. We would also like to sincerely thank the participants and all the organizations who gave their time.

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