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https://ahro.austin.org.au/austinjspui/handle/1/32986
Full metadata record
DC Field | Value | Language |
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dc.contributor.author | Purvis, Tara | - |
dc.contributor.author | Cadilhac, Dominique A | - |
dc.contributor.author | Hill, Kelvin | - |
dc.contributor.author | Reyneke, Megan | - |
dc.contributor.author | Olaiya, Muideen T | - |
dc.contributor.author | Dalli, Lachlan L | - |
dc.contributor.author | Kim, Joosup | - |
dc.contributor.author | Murphy, Lisa | - |
dc.contributor.author | Campbell, Bruce Cv | - |
dc.contributor.author | Kilkenny, Monique F | - |
dc.date | 2023 | - |
dc.date.accessioned | 2023-06-07T02:37:21Z | - |
dc.date.available | 2023-06-07T02:37:21Z | - |
dc.date.issued | 2023-10 | - |
dc.identifier.citation | Journal of Health Services Research & Policy 2023-10; 28(4) | en_US |
dc.identifier.issn | 1758-1060 | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/32986 | - |
dc.description.abstract | National organisational surveys and clinical audits to monitor and guide improvements to the delivery of evidence-based acute stroke care have been undertaken in Australia since 1999. This study aimed to determine the association between repeated national audit cycles on stroke service provision and care delivery from 1999 to 2019. Cross-sectional study using data from organisational surveys (1999, 2004, 2007-2019) and clinical data from the biennial National Stroke Acute Audit (2007-2019). Age-, sex-, and stroke severity-adjusted proportions were reported for adherence to guideline-recommended care processes. Multivariable, logistic regression models were performed to determine the association between repeated audit cycles and service provision (organisational) and care delivery (clinical). Overall, 197 hospitals provided organisational survey data (1999-2019), with 24,996 clinical cases from 136 hospitals (around 40 cases per audit) (2007-2019). We found significant improvements in service organisation between 1999 and 2019 for access to stroke units (1999: 42%, 2019: 81%), thrombolysis services (1999: 6%, 2019: 85%), and rapid assessment/management for patients with transient ischaemic attack (1999: 11%, 2019: 61%). Analyses of patient-level audits for 2007 to 2019 found the odds of receiving care processes per audit cycle to have significantly increased for thrombolysis (2007: 3%, 2019: 11%; OR 1.15, 95% CI 1.13, 1.17), stroke unit access (2007: 52%, 2019: 69%; OR 1.15, 95% CI 1.14, 1.17), risk factor advice (2007: 40%, 2019: 63%; OR 1.10, 95% CI 1.09, 1.12), and carer training (2007: 24%, 2019: 51%; OR 1.12, 95% CI 1.10, 1.15). Between 1999 and 2019, the quality of acute stroke care in Australia has improved in line with best practice evidence. Standardised monitoring of stroke care can inform targeted efforts to reduce identified gaps in best practice, and illustrate the evolution of the health system for stroke. | en_US |
dc.language.iso | eng | - |
dc.subject | Stroke | en_US |
dc.subject | audit and feedback | en_US |
dc.subject | quality of health care | en_US |
dc.title | Twenty years of monitoring acute stroke care in Australia through the national stroke audit programme (1999-2019): A cross-sectional study. | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | Journal of Health Services Research & Policy | en_US |
dc.identifier.affiliation | Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia. | en_US |
dc.identifier.affiliation | The Florey Institute of Neuroscience and Mental Health | en_US |
dc.identifier.affiliation | Stroke Foundation, Melbourne, VIC, Australia. | en_US |
dc.identifier.affiliation | Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia. | en_US |
dc.identifier.affiliation | Stroke Foundation, Melbourne, VIC, Australia. | en_US |
dc.identifier.affiliation | Department of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Melbourne, VIC, Australia. | en_US |
dc.identifier.affiliation | Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia. | en_US |
dc.identifier.doi | 10.1177/13558196231174732 | en_US |
dc.type.content | Text | en_US |
dc.identifier.orcid | 0000-0003-3332-5357 | en_US |
dc.identifier.orcid | 0000-0001-8162-682X | en_US |
dc.identifier.pubmedid | 37212454 | - |
dc.description.startpage | 13558196231174732 | - |
item.languageiso639-1 | en | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
Appears in Collections: | Journal articles |
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