Disability and Health Journal
Volume 3, Issue 4 , Pages 271-281 , October 2010

Methodological issues in monitoring health services and outcomes for stroke survivors: A case study

  • Mary Stuart, Sc.D.

      Affiliations

    • Health Administration and Policy Program, University of Maryland, Baltimore County, Baltimore, MD 21250, USA
    • Department of Veterans Affairs, Baltimore, MD 21201, USA
    • Corresponding Author InformationCorresponding author: 1000 Hilltop Circle.
  • ,
  • Donato Papini, Ph.D.

      Affiliations

    • Agenzia Sanitaria Regionale, Regione Emilia-Romagna 40127, Italy
  • ,
  • Francesco Benvenuti, M.D.

      Affiliations

    • Dipartmento della Riabilitazione, Azienda Unità Sanitaria Locale 11, Regione Oscana, Empoli 50053, Italy
  • ,
  • Marco Nerattini

      Affiliations

    • Direzione Generale, Azienda Ospedaliera Universitaria Senese, Regione Toscana, Siena 53100, Italy
  • ,
  • Enrico Roccato, M.D.

      Affiliations

    • Direzione Sanitaria, Azienda Unità Sanitaria Locale 11, Regione Toscana, Empoli 50053, Italy
  • ,
  • Velio Macellari, Ph.D.

      Affiliations

    • Istituto Superiore di Sanità, Rome 00161, Italy
  • ,
  • Steven Stanhope, Ph.D.

      Affiliations

    • Department of Health, Nutrition, and Exercise Sciences, University of Delaware, Newark, DE 19716, USA
  • ,
  • Richard Macko, M.D.

      Affiliations

    • Department of Veterans Affairs, Baltimore, MD 21201, USA
    • Departments of Neurology and Medicine, Division of Gerontology, University of Maryland, Baltimore, MD 21201, USA
  • ,
  • Michael Weinrich, M.D.

      Affiliations

    • National Center for Medical Rehabilitation Research, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA

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 Financial disclosures: None of the authors has any financial competing interests. Drs. Papini, Benvenuti, and Roccato and Mr. Nerattini are employed by Health Authorities in Italy. We want to acknowledge the support of Alessandro Reggiani, Azienda Unità Sanitaria Locale 11, Regione Toscana, and Dr. Carlo Tomassini (previously at Azienda Unità Sanitaria Locale 10 in Florence), Aziende Ospedaliera Universitaria Senese, Siena, Italy, who provided administrative support for this study. This study was financially supported in part by the Azienda Unità Sanitaria Locale 10 and 11, Regione Toscana, and Istituto Superiore di Sanità, Roma, Italy, within the project “Obtaining Optimally Functional Recovery and Efficient Managed Care for the Chronic Stroke Population” (convenzione N. 530/F20/2). Independent observers were provided by the Baltimore Veterans Administration GRECC, Stroke REAP, Exercise and Robotics Center of Excellence, and the University of Maryland, Baltimore County. We thank the John E. Fogarty International Center and the National Center for Medical Rehabilitation Research at NICHD for providing travel support. The following individuals reviewed data from the stroke pilot study and made recommendations regarding future enhancements: Douglas Bradham, Ph.D., Division of Healthcare Outcomes Research, Department of Preventive Medicine and Epidemiology, University of Maryland Medical School; Donald Steinwachs, Ph.D., Director of the Health Services Research and Development Center, Johns Hopkins Bloomberg School of Hygiene and Public Health; Alex Dromerick, M.D., National Rehabilitation Hospital, Washington, DC; Andrew Kramer, M.D., Division of Health Care Policy and Research, Department of Medicine, University of Colorado Health Sciences Center; and Pamela Duncan, Ph.D., Director of Research, Division of Physical Therapy, Duke University.

PII: S1936-6574(09)00196-4

doi: 10.1016/j.dhjo.2009.11.003

Disability and Health Journal
Volume 3, Issue 4 , Pages 271-281 , October 2010