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. 2021 Dec 24;31(4):106275. doi: 10.1016/j.jstrokecerebrovasdis.2021.106275

Table 1.

Summary of areas of improvement and recommendations.

Phase Areas of improvement Recommendations
Arriving at the hospital and the emergency room Communication/information related to how the health system works Provide information to the public on how/where to access stroke care
Referral system to get to a hospital
During hospitalization Communication between family/caregivers and healthcare personnel -Allocate resources (human/time) to call family/caregivers and provide information
-Train personnel on how to communicate via phone calls
Discharge process Absence of formal training -Provide formal training to caregivers using pre-recorded videos or booklets
-Organize hospital-based group education sessions or community-based services
After discharge Difficulties in obtaining follow-up visits related to the referral system -Provide a clear explanation on how to navigate the healthcare system
-Review the referral system and assess potential improvements
-Improve telemedicine and telerehabilitation systems to increase reach
Feeling of abandonment due to inefficient communication between patient/caregivers and healthcare providers Allocate resources (human/time) to conduct follow-up calls
Deficient communication between providers Implement an integrated system that registers follow-up plans and treatment needed after discharge to improve communication between providers