Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12875-021-01405-z
Title: Role of caregiver factors in outpatient medical follow-up post-stroke: observational study in Singapore
Authors: Tyagi, Shilpa 
Koh, Gerald Choon-Huat 
Luo, Nan 
Tan, Kelvin Bryan
Hoenig, Helen
Matchar, David B 
Yoong, Joanne 
Chan, Angelique 
Lee, Kim En 
Venketasubramanian, N 
Menon, Edward 
Chan, Kin Ming
De Silva, Deidre Anne 
Yap, Philip 
Tan, Boon Yeow 
Chew, Effie 
Young, Sherry H
Ng, Yee Sien 
Tu, Tian Ming 
Ang, Yan Hoon
Kong, Keng He 
Singh, Rajinder 
Merchant, Reshma A 
Chang, Hui Meng 
Yeo, Tseng Tsai
Ning, Chou
Cheong, Angela
Ng, Yu Li
Tan, Chuen Seng 
Keywords: Science & Technology
Life Sciences & Biomedicine
Primary Health Care
Medicine, General & Internal
General & Internal Medicine
Primary care
Caregivers
Stroke
Healthcare utilization
Family caregivers
HEALTH-CARE UTILIZATION
DISABILITY MEASURES
FAMILY CAREGIVERS
STROKE
DEMENTIA
HOSPITALIZATIONS
OPPORTUNITIES
SURVIVORS
GENDER
CANADA
Issue Date: 14-Apr-2021
Publisher: BMC
Citation: Tyagi, Shilpa, Koh, Gerald Choon-Huat, Luo, Nan, Tan, Kelvin Bryan, Hoenig, Helen, Matchar, David B, Yoong, Joanne, Chan, Angelique, Lee, Kim En, Venketasubramanian, N, Menon, Edward, Chan, Kin Ming, De Silva, Deidre Anne, Yap, Philip, Tan, Boon Yeow, Chew, Effie, Young, Sherry H, Ng, Yee Sien, Tu, Tian Ming, Ang, Yan Hoon, Kong, Keng He, Singh, Rajinder, Merchant, Reshma A, Chang, Hui Meng, Yeo, Tseng Tsai, Ning, Chou, Cheong, Angela, Ng, Yu Li, Tan, Chuen Seng (2021-04-14). Role of caregiver factors in outpatient medical follow-up post-stroke: observational study in Singapore. BMC FAMILY PRACTICE 22 (1). ScholarBank@NUS Repository. https://doi.org/10.1186/s12875-021-01405-z
Abstract: Background: Outpatient medical follow-up post-stroke is not only crucial for secondary prevention but is also associated with a reduced risk of rehospitalization. However, being voluntary and non-urgent, it is potentially determined by both healthcare needs and the socio-demographic context of stroke survivor-caregiver dyads. Therefore, we aimed to examine the role of caregiver factors in outpatient medical follow-up (primary care (PC) and specialist outpatient care (SOC)) post-stroke. Method: Stroke survivors and caregivers from the Singapore Stroke Study, a prospective, yearlong, observational study, contributed to the study sample. Participants were interviewed 3-monthly for data collection. Counts of PC and SOC visits were extracted from the National Claims Database. Poisson modelling was used to explore the association of caregiver (and patient) factors with PC/SOC visits over 0–3 months (early) and 4–12 months (late) post-stroke. Results: For the current analysis, 256 stroke survivors and caregivers were included. While caregiver-reported memory problems of a stroke survivor (IRR: 0.954; 95% CI: 0.919, 0.990) and caregiver burden (IRR: 0.976; 95% CI: 0.959, 0.993) were significantly associated with lower early post-stroke PC visits, co-residing caregiver (IRR: 1.576; 95% CI: 1.040, 2.389) and negative care management strategies (IRR: 1.033; 95% CI: 1.005, 1.061) were significantly associated with higher late post-stroke SOC visits. Conclusion: We demonstrated that the association of caregiver factors with outpatient medical follow-up varied by the type of service (i.e., PC versus SOC) and temporally. Our results support family-centred care provision by family physicians viewing caregivers not only as facilitators of care in the community but also as active members of the care team and as clients requiring care and regular assessments.
Source Title: BMC FAMILY PRACTICE
URI: https://scholarbank.nus.edu.sg/handle/10635/228160
ISSN: 1471-2296
DOI: 10.1186/s12875-021-01405-z
Appears in Collections:Staff Publications
Elements

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
Role of caregiver factors in outpatient medical follow-up post-stroke observational study in Singapore.pdf1.08 MBAdobe PDF

OPEN

NoneView/Download

Page view(s)

28
checked on Sep 22, 2022

Download(s)

1
checked on Sep 22, 2022

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.