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. Author manuscript; available in PMC: 2024 Dec 1.
Published in final edited form as: Lancet Neurol. 2023 Oct 9;22(12):1160–1206. doi: 10.1016/S1474-4422(23)00277-6

Table 7:

Pragmatic recommendations to improve stroke rehabilitation by 2030

Goals Targets Recommendations Measures of progress
Some countries do not have stroke rehabilitation services To establish and strengthen neurorehabilitation services in various settings in all countries To ensure the availability of multidisciplinary neurorehabilitation facilities and personnel in all countries by 2030, so that rehabilitation is accessible to all patients worldwide All countries without multidisciplinary neurorehabilitation services should initiate a programme to establish these services and train personnel to deliver multidisciplinary care to patients after a stroke in hospital and in community settings
Funding solutions are needed to facilitate access to neurorehabilitation services for patients with stroke in low-income and middle-income countries
Number of countries without multidisciplinary neurorehabilitation services in 2019 for stroke patients who have established such services by 2030
Many countries do not have sufficient stroke rehabilitation services (in terms of both number and quality) To increase the number of facilities offering high-quality multidisciplinary care for patients with stroke and to increase adherence to best practice guidelines along the continuum of care, including inpatient, outpatient, community, and home-based rehabilitation To increase the number of facilities offering high-quality multidisciplinary care for patients with stroke with a continuum-of-care approach and inter-setting organisation, such that every patient with stroke has access to these services by 2030
The number and type of services required will depend on the burden of stroke in each region and country
Multidisciplinary care and inter-setting organisation along the continuum of care should be available for patients with stroke Countries with stroke rehabilitation services should improve the quality of these services according to evidence-based guidelines
Training programs should be enhanced to increase the number of personnel available to offer services
Performance indicators for rehabilitation that address major impairments and patient and carer needs should be developed A repository for best-practice rehabilitation protocols for sharing and adaptation to different countries and settings should be created
Number of new rehabilitation services established between 2019 and 2030 in each country Improved adherence to clinical practice guidelines