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Improving access to evidence-based acute stroke services: development and evaluation of a health systems model to address equity of access issues

journal contribution
posted on 2006-02-01, 00:00 authored by D Cadilhac, Marj MoodieMarj Moodie, E Lalor, L Bilney, G Donnan
Level 1 evidence for management of patients with stroke in a dedicated Stroke Care Unit (SCU) demonstrates improved outcomes by about 20%. It has been estimated that 21% of Australian hospitals provide an SCU and that these SCUs are mainly located in either metropolitan sites and/or in hospitals with more than 300 beds. To address equity issues related to access to SCUs, the National Stroke Foundation and the Australian Government undertook the National Stroke Units Program. One program outcome was the development of a conceptual model of acute stroke service delivery. The development process and initial evaluation of the model are described. Use of the model to increase capacity within the health care system to treat stroke is discussed.

History

Journal

Australian health review

Volume

30

Issue

1

Pagination

109 - 118

Publisher

Australasian Medical Publishing Company Pty. Ltd.

Location

Sydney, N.S.W.

ISSN

0156-5788

eISSN

1449-8944

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2006, Australian Health Review

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