Prehospital thrombolysis in acute stroke: Results of the PHANTOM-S pilot study

Saifee, Tabish A.; Burd, Christian M.; Koppel, Cristina

doi:10.1212/wnl.0b013e3182a69c60

Cited by 1 publication

(2 citation statements)

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“…With the spread of telemedicine these services have made inroads into outpatient centres and basic healthcare centres, as well (Black and Gruen 2005). Thanks to this, hospitalisation rates have decreased for several clinical profiles for which they were traditionally high (Marrie et al 2014), and the time of hospital stays could also be reduced through adequate pre-hospital emergency care (Saifee et al 2013; Weber et al 2013). These two parallel processes define the redistribution of tasks.…”

Section: Discussionmentioning

confidence: 99%

“…This ensures the desired allocation of resources, which are necessary to provide services of a suitable quality and satisfy the criteria of patient safety. Access to services within an appropriate timeframe can be improved through the support of pre-hospital services, either diagnostic (Handschu et al 2014) or curative (Saifee et al 2013; Weber et al 2013; Audebert et al 2013). …”

Section: Discussionmentioning

confidence: 99%

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New hospital structure in the twenty-first century: the position of level III (tertiary) neurological and stroke care in a changing healthcare system

Szentes

Kovács²,

Óváry

2016

SpringerPlus

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AimThe determination of the necessary capacity and number of neurology wards of level III progressivity that can be defined in the system of criteria detailed in this article and which possess optimal operating conditions in Hungarian terms.MethodsWe used the National Health Insurance Company’s database to calculate case numbers and capacity for different levels of neurological and stroke care. We also revised the allocation of advanced diagnostic and therapeutic technologies, and proposed changes, based on health insurance data. We also discussed these propositions with clinical experts to test their viability.ResultsWe determined the adequate number of organisational units capable of providing special neurological healthcare services on the basis of the basic data of the Hungarian healthcare system, specifying this number as 6 instead of the current 11.ConclusionsIn our study, we have identified significant bias in the nationwide level of neurological and stroke care organisation, which needs revised allocation of healthcare resources. Naturally, this can only be carried out through the restructuring of the emergency care system and the expansion of pre-hospital care.

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Section: Discussionmentioning

confidence: 99%