A5062274393- Acute Ischemic Stroke Management
- Patient Satisfaction in Healthcare
- Cardiovascular Health and Risk Factors
- Primary Care and Health Outcomes
- Hemodynamic Monitoring and Therapy
- Health Policy Implementation Science
- Blood Pressure and Hypertension Studies
- Stroke Rehabilitation and Recovery
- Health Systems, Economic Evaluations, Quality of Life
- Cardiovascular Health and Disease Prevention
Centers for Disease Control and Prevention
2021-2024
Oak Ridge Institute for Science and Education
2021-2023
National Center for Chronic Disease Prevention and Health Promotion
2021-2023
Oak Ridge Associated Universities
2021-2023
Context Stroke systems of care (SSOC) promote access to stroke prevention, treatment, and rehabilitation ensure patients receive evidence-based treatment. living in rural areas have disproportionately less emergency medical services (EMS). In the United States, counties a 30% higher mortality rate compared urban counties. Many states SSOC laws supported by evidence; however, there are knowledge gaps how implement these state strengthen SSOC. Objective This study identifies strategies...
In the USA, structural racism contributes to higher rates of cardiovascular disease (CVD) including hypertension, heart disease, and stroke among African American persons. Evidence-based interventions (EBIs), which include programs, policies, practices, can help mitigate health inequities, but have historically been underutilized or misapplied communities experiencing discrimination exclusion. This commentary on special issue Prevention Science, "Advancing Adaptability Chronic Disease...
Since 2003, 38 US states and Washington, DC have adopted legislation and/or regulations to strengthen stroke systems of care (SSOCs). This study estimated the impact SSOC laws on outcomes. We used a coded legal dataset 50 (years 2003-2018), national accreditation information 1997-2018), data from Healthcare Cost Utilization Project 2012-2018), National Vital Statistics System 1979-2019). applied natural experimental design paired with longitudinal modeling estimate having one or more...
Introduction: Stroke systems of care (SSOC) laws have been adopted across the US as early 2002 to improve access time- sensitive, life-saving treatments and for stroke patients. However, impact these on delivery patient outcomes remains largely unknown. The study goal was determine whether policy interventions are associated with improved by examining SSOC implemented states. Methods: We developed a surveillance dataset 50 states D.C. in effect at any time from 2002-2018. A stakeholder group...