Patient experience of centralized acute stroke care pathways

C Perry, I Papachristou, AIG Ramsay… - Health …, 2018 - Wiley Online Library
Abstract Background In 2010, Greater Manchester (GM) and London centralized acute
stroke care services into a reduced number of hyperacute stroke units, with local stroke units …

User experience of a centralized hyperacute stroke service: a prospective evaluation

B Moynihan, S Paul, HS Markus - Stroke, 2013 - Am Heart Assoc
Background and Purpose—Centralizing hyperacute stroke unit (HASU) care services allows
improved access to thrombolysis but could be associated with worse patient experience …

Effects of centralizing acute stroke services on stroke care provision in two large metropolitan areas in England

AIG Ramsay, S Morris, A Hoffman, RM Hunter… - Stroke, 2015 - Am Heart Assoc
Background and Purpose—In 2010, Greater Manchester and London centralized acute
stroke care into hyperacute units (Greater Manchester= 3, London= 8), with additional units …

Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study

NJ Fulop, A Ramsay, RM Hunter… - Health Services …, 2019 - discovery.ucl.ac.uk
Background: Centralising acute stroke services is an example of major system change
(MSC).'Hub and spoke'systems, consisting of a reduced number of services providing acute …

Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national …

S Morris, AIG Ramsay, RJ Boaden, RM Hunter… - bmj, 2019 - bmj.com
Objectives To investigate whether further centralisation of acute stroke services in Greater
Manchester in 2015 was associated with changes in outcomes and whether the effects of …

Regional differences in access to acute ischaemic stroke care and patient outcomes

M Dwyer, G Peterson, S Gall, L Kinsman… - Internal Medicine …, 2020 - Wiley Online Library
Background Advances in stroke management such as acute stroke units and thrombolysis
are not uniformly distributed throughout our population, with rural areas being relatively …

Health care providers' perceptions of factors that influence the provision of acute stroke care in urban and rural settings: a qualitative study

M Dwyer, GM Peterson, S Gall, K Francis… - SAGE open …, 2020 - journals.sagepub.com
Objectives: Individuals living in rural areas have comparatively less access to acute stroke
care than their urban counterparts. Understanding the local barriers and facilitators to the …

[HTML][HTML] Impact of ongoing centralization of acute stroke care from “drip and ship” into “direct-to-mothership” model in a Dutch urban area

MC van der Linden, N van der Linden, S Peter… - Health policy, 2021 - Elsevier
When acute stroke care is organised using a “drip-and-ship” model, patients receive
immediate treatment at the nearest primary stroke centre followed by transfer to a …

Geographic differences in acute stroke care in Catalunya: impact of a regional interhospital network

M Ribo, CA Molina, A Pedragosa… - Cerebrovascular …, 2008 - karger.com
Limited resources prevent specialized care in community hospitals (CH) challenging
geographical equity. We studied the impact of a regional interhospital network based on …

Plan for stroke healthcare delivery

JA Sabín, MA de Leciñana… - Neurologia …, 2006 - pubmed.ncbi.nlm.nih.gov
Introduction All stroke patients should receive the same degree of specialized healthcare
attention according to the stage of their disease, independently of where they live, their age …