Variation in stroke survivors' long-term home care use: a South London population-based study
Long-term stroke survivor data reveal gaps in home care access for certain groups, highlighting where community support policies need strengthening.
This 27-year registry study of 7,885 South London stroke survivors found that informal (unpaid) care dominates post-stroke home care up to 15 years and that unmet ADL needs increase over time, disproportionately affecting those with moderate dependency, lower deprivation, and ethnic minority groups. Findings highlight equity gaps in community-based stroke care and caution against home-based care policies that may worsen distributional inequalities.
What the study was
- Study design
- Population-based registry observational study (South London Stroke Register, 1995–2022)
- Population
- Stroke survivors in South London (1995–2022)
- Sample size
- 7885
- Category
- Public Health
- Maturity
- Validated
- Journal
- European Stroke Journal
Why it surfaced
27-year longitudinal registry study (n=7,885) with granular ethnic/socioeconomic disparity analysis in stroke care — relevant to aging/population health watchlist. Unmet needs increasing over 15 years post-stroke highlights a growing gap. NIHR-funded; high-quality design.
A plain-language summary of published research — not medical advice. Talk to a clinician about your own care.