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Reimagining Stroke Rehabilitation and Recovery Across the Care Continuum: Results From a Design-Thinking Workshop to Identify Challenges and Propose Solutions
Archives of Physical Medicine and Rehabilitation ( IF 4.3 ) Pub Date : 2021-02-05 , DOI: 10.1016/j.apmr.2021.01.074
Julie A DiCarlo 1 , Galina Gheihman 1 , David J Lin 2 ,
Affiliation  

Systems for stroke rehabilitation and recovery are variable and fragmented; stroke survivors often experience gaps in care with detrimental effects on their recovery. We designed and hosted a multidisciplinary and interactive workshop to discuss challenges facing patients recovering from stroke and to brainstorm solutions.

Forty-one participants including clinicians, researchers, and stroke survivors attended the workshop. Participants were surveyed beforehand about challenges facing stroke recovery and results were tabulated as a word cloud. An interactive, design-thinking exercise was conducted that involved completing workbooks, hands-on prototype designing, and presentations, which were then analyzed through qualitative content analysis using an inductive approach.

High frequency words in the word cloud of survey responses included access, fragmented, and uncertainty. Qualitative analysis revealed 6 major challenge themes including poor (1) transitions in and (2) access to care; (3) barriers to health insurance; (4) lack of patient support; (5) knowledge gaps; and (6) lack of standardized outcomes. Eleven unique solutions were proposed that centered around new technologies, health care system changes, and the creation of new support roles. Analysis of the alignment between the challenges and solutions revealed that the single proposed solution that solved the most identified challenges was a “comprehensive stroke clinic with follow-up programs, cutting edge treatments, patient advocation and research.”

Through our interactive design-thinking workshop process and inductive thematic analysis, we identified major challenges facing patients recovering from stroke, collaboratively proposed solutions, and analyzed their alignment. This process offers an innovative approach to reaching consensus among interdisciplinary stakeholders.



中文翻译:

重新构想整个护理过程中的中风康复和康复:设计思维研讨会的结果,以确定挑战并提出解决方案

中风康复和恢复系统是可变的和支离破碎的;中风幸存者经常遇到护理缺口,对他们的康复产生不利影响。我们设计并主办了一个多学科互动研讨会,以讨论中风康复患者面临的挑战以及集思广益的解决方案。

包括临床医生、研究人员和中风幸存者在内的 41 名参与者参加了研讨会。参与者事先接受了关于中风康复面临的挑战的调查,结果以词云形式列出。进行了互动式设计思维练习,包括完成工作簿、动手原型设计和演示,然后使用归纳方法通过定性内容分析进行分析。

调查回复词云中的高频词包括访问、碎片化和不确定性。定性分析揭示了 6 个主要挑战主题,包括 (1) 难以获得护理和 (2) 获得护理;(三)健康保险障碍;(4) 缺乏患者支持;(5) 知识差距;(6) 缺乏标准化的结果。提出了 11 种独特的解决方案,以新技术、医疗保健系统变化和新支持角色的创建为中心。对挑战和解决方案之间一致性的分析表明,解决最确定的挑战的单一提议解决方案是“具有后续计划、尖端治疗、患者支持和研究的综合中风诊所”。

通过我们的交互式设计思维研讨会流程和归纳主题分析,我们确定了中风康复患者面临的主要挑战、协作提出的解决方案,并分析了它们的一致性。这个过程提供了一种创新的方法来在跨学科的利益相关者之间达成共识。

更新日期:2021-02-05
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