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Health care providers’ perceptions of factors that influence the provision of acute stroke care in urban and rural settings: a qualitative study

Dwyer, MA ORCID: 0000-0002-9956-2569, Peterson, GM ORCID: 0000-0002-6764-3882, Gall, S ORCID: 0000-0002-5138-2526, Francis, K ORCID: 0000-0003-3578-2498 and Ford, KM 2020 , 'Health care providers’ perceptions of factors that influence the provision of acute stroke care in urban and rural settings: a qualitative study' , Sage Open Medicine, vol. 8 , pp. 1-8 , doi:

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Objectives: Individuals living in rural areas have comparatively less access to acute stroke care than their urban counterparts.Understanding the local barriers and facilitators to the use of current best practice for acute stroke may inform efforts toreduce this disparity.Methods: A qualitative study featuring semi-structured interviews and focus groups was conducted in the Australian stateof Tasmania. Clinical staff from a range of disciplines involved in acute stroke care were recruited from three of the state’sfour major public hospitals (one urban and two rural). A semi-structured interview guide based on the findings of an earlierquantitative study was used to elicit discussion about the barriers and facilitators associated with providing acute stroke care.An inductive process of thematic analysis was then used to identify themes and subthemes across the data set.Results: Two focus groups and five individual interviews were conducted. Four major themes were identified from analysisof the data: systemic issues, clinician factors, additional support and patient-related factors. Acute stroke care within thestudy’s urban hospital was structured and comprehensive, aided by the hospital’s acute stroke unit and specialist nursingsupport. In contrast, care provided in the study’s rural hospitals was somewhat less comprehensive, and often constrainedby an absence of infrastructure or poor access to existing resources.Conclusion: The identified factors help to characterise acute stroke care within urban and rural hospitals and will assistquality improvement efforts in Tasmania’s hospitals.

Item Type: Article
Authors/Creators:Dwyer, MA and Peterson, GM and Gall, S and Francis, K and Ford, KM
Keywords: stroke, care, acute, perceptions
Journal or Publication Title: Sage Open Medicine
Publisher: Sage Publications, Inc.
ISSN: 2050-3121
DOI / ID Number:
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Copyright 2020 the authors. Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

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