A comparison of service organisation and guideline compliance between two adjacent European health services
| العنوان: | A comparison of service organisation and guideline compliance between two adjacent European health services |
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| المؤلفون: | Chris Macey, Imelda Noone, Rachel Doyle, Dominick J. H. McCabe, Emer Shelley, Joan McCormack, Peter J. Kelly, Joseph Harbison, Michael McCormick, David Williams, Paul Marsden, Tadhg Stapleton, Heather Coetzee, Riona Mulcahy, Frances Horgan, Anne Hickey, Anthony Rudd, Paul McElwaine, Cliona Loughnane, Carmel Brennan, Paul Cotter |
| المصدر: | European Stroke Journal. 2:238-243 |
| بيانات النشر: | SAGE Publications, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Service (business), medicine.medical_specialty, education.field_of_study, business.industry, Population, Guideline compliance, Health services research, Audit, 030204 cardiovascular system & hematology, Public relations, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Original Research Articles, Family medicine, Health care, medicine, Neurology (clinical), Cardiology and Cardiovascular Medicine, business, education, Stroke, 030217 neurology & neurosurgery, Health policy |
| الوصف: | Introduction Outcomes in stroke patients are improved by a co-ordinated organisation of stroke services and provision of evidence-based care. We studied the organisation of care and application of guidelines in two neighbouring health care systems with similar characteristics. Methods Organisational elements of the 2015 National Stroke Audit (NSA) from the Republic of Ireland (ROI) were compared with the Sentinel Stroke National Audit Programme (SSNAP) in Northern Ireland (NI) and the United Kingdom (UK). Compliance was compared with UK and European guidelines. Results Twenty-one of 28 ROI hospitals (78%) reported having a stroke unit (SU) compared with all 10 in NI. Average SU size was smaller in ROI (6 beds vs. 15 beds) and bed availability per head of population was lower (1:30,633 vs. 1:12,037 p Conclusion Whilst the majority of hospitals in both jurisdictions met key criteria for organised stroke care the small size and underdevelopment of the ROI units meant a substantial proportion of patients were unable to access this specialised care. |
| تدمد: | 2396-9881 2396-9873 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1ca40f8687b610bb3df9863986374da1 https://doi.org/10.1177/2396987317703209 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....1ca40f8687b610bb3df9863986374da1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23969881 23969873 |
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