title: Motivating for infrastructure change: toward a communicatively accessible, participation-based stroke care system for all those affected by aphasia.
abstract: This paper provides a rationale for changing the base upon which healthcare services for individuals with stroke and aphasia can be provided. It is a nuts-and-bolts summary of the interactions between the Aphasia Institute and the West Greater Toronto Stroke Network who worked together to effect meaningful change. Further, the article provides a practical set of guidelines for others to use, should they wish to effect such change.
  
  
  OBJECTIVE
  As a result of reading this article, the participant will be able to (1) develop a strong rationale changing the infrastructure related to healthcare services for individuals and families who have incurred stroke and aphasia; (2) describe the activities undertaken at the Aphasia Institute for accomplishing these changes; (3) refer to a practical set of guidelines for effecting infrastructural change.
authors.affiliation: Aphasia Institute, Toronto, Ont., Canada.
authors.forename: Aura
authors.initials: A
authors.lastname: Kagan
authors.forename: Kathryn
authors.initials: K
authors.lastname: LeBlanc
mesh_terms: D001037:Aphasia / Q000209:etiology* / Q000523:psychology*; D003142:Communication; D006296:Health Services / Q000592:standards; D006801:Humans; D009042:Motivation; D020521:Stroke / Q000150:complications*