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Dear all,

I want to produce an 'evidence-based patient pathway' for management of stroke (from management of acute stroke through to rehabilitation, secondary prevention etc.). this can then be used as an evaluation tool to assess whether current practice in my district is evidence-based.

I think I have identified all the relevant sources of evidence (including the RCP guidelines, SIGN guidelines, Cochrane reviews, Canadian guidelines, AHA guidelines etc.) and I know that in England the forthcoming National Service Framework for older people will cover stroke.

Does anyone know of any similar work regarding development of an evidence-based patient pathway model (whether in the area of stroke care or otherwise) that can be used to assess current practice? Please email me if you can help.

Kind regards,
Dr John Powell

Specialist Registrar in Public Health Medicine
Buckinghamshire Health Authority
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+44 (0)1296 310143



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