Publications by authors named "Rouillard S"

Background: Broad-scale, rapid health care change is critically needed to improve value-based, effective health care. Health care providers and systems need to address common barriers and facilitators across the evidence to implementation pathway, across diverse specialties. However, most evidence translation / implementation research evaluates single topic areas, and may be of limited value for informing comprehensive efforts.

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Objectives: To determine activity limitations, participation restrictions, health-related quality of life and caregiver strain in community-dwelling stroke survivors discharged from an intensive inpatient rehabilitation programme at 6 months post stroke.

Methods: Fifty-one consecutive stroke patients admitted to a Western Cape rehabilitation centre were included. Community-dwelling participants (N=46) at 6 months post stroke were assessed using the Modified Rankin Scale (MRS), Barthel index (BI), Nottingham extended activities of daily living (NEADL) scale, Euroqol (EQ-5D) instrument and caregiver strain index (CSI).

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Setting up a hotline.

Issue Brief Cent Medicare Educ

March 2002

Consumer assistance hotlines represent one important model for delivering health-care information to consumers. However, developing and managing such programs can be complicated. This issue brief presents some of the issues involved in setting up and maintaining a hotline.

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Background: Hyperbilirubinemia after creation of transjugular intrahepatic portosystemic shunts (TIPS) has been attributed to hemolysis and portal diversion, but the causes and natural history of this condition remain unknown.

Objective: To determine clinical outcomes and predictors of severe hyperbilirubinemia after TIPS creation.

Design: Retrospective analysis of all patients who underwent TIPS creation from June 1990 to September 1996.

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