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Title: Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA.
Austin Authors: Tse, Tamara ;Carey, Leeanne M ;Cadilhac, Dominique A;Koh, Gerald Choon-Huat;Baum, Carolyn
Affiliation: Department of Medicine, School of Clinical Sciences, Monash University, Victoria, Australia
Occupational Therapy, Department of Community and Clinical Allied Health, School of Allied Health, La Trobe University, Victoria, Australia
Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Washington University in St Louis, St Louis, MO, USA
Saw Swee Hock School of Public Health, National University of Singapore, National University Health System
Issue Date: Oct-2016 2016-07-20
Publication information: International Journal of Stroke 2016; 11(8): 852-859
Abstract: Aim To examine how Australia, Singapore and the United States of America (USA) match to the World Stroke Organization Global Stroke Services health system monitoring indicators (HSI). Design Descriptive comparative study Participants The health systems of Australia, Singapore, the USA. Outcome measures Published data available from each country were mapped to the 10 health system monitoring indicators proposed by the World Stroke Organization. Results Most health system monitoring indicators were at least partially met in each country. Thrombolytic agents were available for use in acute stroke. Stroke guidelines and stroke registry data were available in all three countries. Stroke incidence, prevalence, and mortality rates were available but at non-uniform times post-stroke. The International Classification of Disease 9 or 10 coding systems are used in all three countries. Standardized clinical audits are routine in Australia and the USA, but not in Singapore. The use of the modified Rankin Scale is collected sub-acutely but not at one year post-stroke in all three countries. Conclusions The three developed countries are performing well against the World Stroke Organization health system monitoring indicators for acute and sub-acute stroke care. However, improvements in stroke risk assessment and at one-year post-stroke outcome measurement are needed.
DOI: 10.1177/1747493016660104
ORCID: 0000-0002-7136-5037
PubMed URL: 27432422
Type: Journal Article
Subjects: Australia
Health System Indicators
United States of America
World Stroke Organization
Appears in Collections:Journal articles

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