دورية أكاديمية

Establishing a Baseline: Evidence-Supported State Laws to Advance Stroke Care.

التفاصيل البيبلوغرافية
العنوان: Establishing a Baseline: Evidence-Supported State Laws to Advance Stroke Care.
المؤلفون: Gilchrist S; Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia (Mss Gilchrist, Sloan, Bhuiya, Taylor, Shantharam, and Fulmer and Dr Barbero); IHRC, Inc, Atlanta, Georgia (Mss Gilchrist and Shantharam); and Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee (Mss Sloan, Bhuiya, and Taylor). Ms Bhuiya is now at the Institute of Health Policy, Management, and Evaluation, University of Toronto, Ontario, Canada., Sloan AA, Bhuiya AR, Taylor LN, Shantharam SS, Barbero C, Fulmer EB
المصدر: Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2020 Mar/Apr; Vol. 26 Suppl 2, Advancing Legal Epidemiology, pp. S19-S28.
نوع المنشور: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract
أسماء مطبوعة: Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Frederick, MD : Aspen Publishers, c1995-
مواضيع طبية MeSH: Jurisprudence* , State Government*, Evidence-Based Practice/*legislation & jurisprudence , Stroke/*therapy , Translational Research, Biomedical/*methods, Evidence-Based Practice/methods ; Evidence-Based Practice/trends ; Humans ; United States
مستخلص: Objective: Approximately 800 000 strokes occur annually in the United States. Stroke systems of care policies addressing prehospital and in-hospital care have been proposed to improve access to time-sensitive, lifesaving treatments for stroke. Policy surveillance of stroke systems of care laws supported by best available evidence could reveal potential strengths and weaknesses in how stroke care delivery is regulated across the nation.
Design: This study linked the results of an early evidence assessment of 15 stroke systems of care policy interventions supported by best available evidence to a legal data set of the body of law in effect on January 1, 2018, for the 50 states and Washington, District of Columbia.
Results: As of January 1, 2018, 39 states addressed 1 or more aspects of prehospital or in-hospital stroke care in law; 36 recognized at least 1 type of stroke center. Thirty states recognizing stroke centers also had evidence-supported prehospital policy interventions authorized in law. Four states authorized 10 or more of 15 evidence-supported policy interventions. Some combinations of prehospital and in-hospital policy interventions were more prevalent than other combinations.
Conclusion: The analysis revealed that many states had a stroke regulatory infrastructure for in-hospital care that is supported by best available evidence. However, there are gaps in how state law integrates evidence-supported prehospital and in-hospital care that warrant further study. This study provides a baseline for ongoing policy surveillance and serves as a basis for subsequent stroke systems of care policy implementation and policy impact studies.
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تواريخ الأحداث: Date Created: 20200201 Date Completed: 20210426 Latest Revision: 20211204
رمز التحديث: 20231215
DOI: 10.1097/PHH.0000000000001126
PMID: 32004219
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-5022
DOI:10.1097/PHH.0000000000001126