Studies indicate a high incidence of readmission within the first 12 months post-discharge home following stroke. In addition, there is a limited awareness of healthcare services, community resources, and lack of access to information in rural communities. Previous work from our group has demonstrated the need for community-based navigational support during community reintegration for survivors of stroke. The purpose of this study was to determine the effectiveness of providing community health navigation to facilitate continued communications with healthcare providers and linkages to services and community resources for survivors of stroke in Appalachian rural communities.
This project was funded in part through a grant from the University of Kentucky Center for Clinical and Translational Science (UL1TR000117).
Kitzman, Patrick H.; Sylvia, Violet; Feltner, Frances J.; and Hudson, Keisha, "Care Coordination as Part of the Discharge Plan to Support Community Reintegration of Individuals with Stroke Living in Appalachian Rural Communities" (2015). Center of Excellence in Rural Health Presentations. 12.