Community Organizations as Implementation Infrastructure
Voluntary, community, and social enterprise organizations have long been treated as supplements to the health system, helpful additions when formal care falls short. Our early work tells a different story. Across stroke rehabilitation and recovery, these organizations are not filling gaps. They are the infrastructure that makes high-quality, person-shaped care possible, particularly during the critical transition from hospital to home. They hold relationships, trust, and community knowledge that health systems cannot replicate. Recognizing and resourcing them as core implementation partners, not peripheral supports, is one of the most important shifts the evidence is pointing toward.