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Challenges of delivering evidence‐based stroke services for rural areas in Australia

Prior, SJ ORCID: 0000-0001-5782-9141, Reeves, NS and Campbell, SJ ORCID: 0000-0003-4830-8488 2020 , 'Challenges of delivering evidence‐based stroke services for rural areas in Australia' , Australian Journal of Rural Health , pp. 1-7 , doi: 10.1111/ajr.12579.

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Objective: The aim of this paper was to use current stroke care guidelines to identifyand discuss current stroke care challenges in rural Australian health care and potential solutions for delivery of evidence‐based practice.Design and setting: A review of national guidelines since 2002 for organised strokecare was undertaken to determine best practice for delivering primary stroke care.We then employed a narrative literature review strategy looking at relevant articles,based on keywords, outlining current stroke service availability in Australia, highlighting the challenges of implementing evidence‐based stroke care in rural areas inAustralia based on the current guidelines.Results: Delivery of evidence‐based stroke care in rural Australia is fraught withchallenges. Although national best‐practice guidelines for stroke care are well established, the recommendations made in these guidelines do not always reflect theresource availability in rural Australia. Redesigning processes and utilising availableresources, such as telemedicine or local clinical pathways, can achieve an evidence‐based standard; however, ultimately better resourcing of these areas is required.Conclusion: Evidence‐based stroke care, aligned with current national standards isthe key to providing adequate stroke services in rural Australia. Improved healthservice resourcing and better utilisation of currently available resources are optionsfor achieving elements of evidence‐based stroke care.Implications for public health: Availability of adequate services for stroke patientsdirectly impacts public health as it determines health outcomes for these patients.Indirect implications for public health include the effects on health professionals andthe general public.

Item Type: Article
Authors/Creators:Prior, SJ and Reeves, NS and Campbell, SJ
Keywords: guidelines, health care, public health, rural health care, stroke
Journal or Publication Title: Australian Journal of Rural Health
Publisher: Wiley-Blackwell Publishing Asia
ISSN: 1038-5282
DOI / ID Number: 10.1111/ajr.12579
Copyright Information:

Copyright 2020 National Rural Health Alliance Ltd.

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