shortages by local DHBs. There are major resourcing issues in DHBs so opportunities to develop cost-effective complex interventions to maximise outcome are limited e.g. intrathecal baclofen pumps. Key themes for decreasing levels of care needed: rehabilitation teams Developing numbers of trained personnel Increasing multidisciplinary settings Providing of appropriate service delivery Timeliness to appropriate treatments and technologies Access planned transition to on-going services Formalised, training of relevant Increased coordination. Care 4. Increase number of disability free years: Stroke (in people under 65) Why this condition was selected People under 65 years of age who experience a stroke are currently not directly funded by DHBs and there is no dedicated nationwide service. Providing rehabilitation and appropriate funding can increase the number of disability free years for these stroke patients. Current situation Stroke is the third greatest cause of death in New Zealand (after all cancers combined and heart disease). However, most strokes are not fatal and therefore the major burden of stroke is chronic disability. According to a 1997 study, there were approximately 32,000 people in New Zealand living with stroke, and only 30% of those were independent in activities of daily living. 2009 were approximately 6,000 first ever strokes and 2,000 recurrent In strokes in New Zealand. year, approximately 2,000 people die from stroke. This has remained fairly Each constant with the ageing population balancing out a decline in age-standardised mortality rates for stroke victims. than 90% of stroke sufferers are admitted to hospital More recent study in Auckland following up five years after stroke showed a range of A on-going functional impairments: Dementia (22.5%) Recurrent stroke (20%) Institutionalised (15%) Depression (30%) Bladder control problems or falls (33%). one-quarter of all people with first stroke in New Zealand are aged Approximately under 65 at stroke onset. Maori and Pacific New Zealanders are disproportionately represented among this group, as stroke sufferers from these ethnicities have a younger age profile than European New Zealanders. Associated costs and projections
shortages by local DHBs. There are major resourcing issues in DHBs so opportunities to develop cost-effective complex interventions to maximise outcome are limited e.g. intrathecal baclofen pumps. Key themes for decreasing levels of care needed: Developing rehabilitation teams Increasing numbers of trained personnel Providing multidisciplinary settings Timeliness of appropriate service delivery Access to appropriate treatments and technologies Formalised, planned transition to on-going services Increased training of relevant Care coordination. 4. Increase number of disability free years: Stroke (in people under 65) Why this condition was selected People under 65 years of age who experience a stroke are currently not directly funded by DHBs and there is no dedicated nationwide service. Providing rehabilitation and appropriate funding can increase the number of disability free years for these stroke patients. Current situation Stroke is the third greatest cause of death in New Zealand (after all cancers combined and heart disease). However, most strokes are not fatal and therefore the major burden of stroke is chronic disability. According to a 1997 study, there were approximately 32,000 people in New Zealand living with stroke, and only 30% of those were independent in activities of daily living. In 2009 were approximately 6,000 first ever strokes and 2,000 recurrent strokes in New Zealand. Each year, approximately 2,000 people die from stroke. This has remained fairly constant with the ageing population balancing out a decline in age-standardised mortality rates for stroke victims. More than 90% of stroke sufferers are admitted to hospital A recent study in Auckland following up five years after stroke showed a range of on-going functional impairments: Dementia (22.5%) Recurrent stroke (20%) Institutionalised (15%) Depression (30%) Bladder control problems or falls (33%). Approximately one-quarter of all people with first stroke in New Zealand are aged under 65 at stroke onset. Maori and Pacific New Zealanders are disproportionately represented among this group, as stroke sufferers from these ethnicities have a younger age profile than European New Zealanders. Associated costs and projections
rehabilitation-workforce-service-forecast.docx