Publication Date


Clinical Question

In post-stroke rehabilitation, is domiciliary care more cost-effective with higher positive health outcomes than hospital- or sub-acute inpatient care?

Clinical Bottom Line

The results of this research suggest that home-based care is possible and cost-effective. Health outcomes have been found to be reasonable and research has shown that it provides a suitable environment for occupational therapy rehabilitation to occur as part of a multidisciplinary team. It also suggests that caregivers require support if a stroke survivor is discharged home. When a person is focused on caring for another individual, one’s own mental health may degress. Finding a balance between care for another adult while sustaining the home and other normal maintenance routines can be difficult. It is within the realm of OT to educate the caregiver and adopt them as a “secondary” client. Support may be provided in finding that balance. Further research should be done on this population.