Bridging the Urban and Regional Divide in Stroke Care (BUILDS): A Novel Telestroke Unit Service

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-06-18 DOI:10.1111/ajr.70067

Lauren Arthurson, Suzanne Harrison, Benjamin Clissold, Christopher Bladin, Glenn Howlett, Felix Ng, Philip M. C. Choi

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引用次数: 0

Abstract

Problem

People living in rural areas of Australia have an increased risk of stroke. Reperfusion decision support is increasingly available in these areas however, access to acute stroke unit care is limited.

Setting

An acute telestroke unit pilot was implemented in a regional health service in Victoria.

Key Measures for Improvement

Change in diagnosis post specialist evaluation, patient and staff satisfaction, length of stay, percentage of patients discharged with anti-platelets and care plan provision.

Strategies for Change

Partnership between metro-based stroke specialists and an onsite stroke coordinator based in a regional site. Early engagement of key decision makers (i.e., hospital executive).

Effects of Changes

This model increased diagnostic accuracy and decreased resource use including diagnostic tests, patient transfers and staff deployment. Patients, families and staff reported high levels of satisfaction. The pilot transitioned to a sustainable health service funded model, embedded into ‘usual’ care. The BUILDS pilot enabled stroke unit certification of the regional health service.

Lessons Learnt

Telestroke unit model, enabled by an adequately resourced local stroke coordinator, could be the key to ensure all regional Australians have access to stroke unit care.

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弥合城市和地区的差距在中风护理（构建）：一个新的远程中风单位服务

生活在澳大利亚农村地区的人患中风的风险更高。再灌注决策支持在这些地区越来越多地可用，然而，获得急性卒中单位护理是有限的。在维多利亚州的一个区域卫生服务机构中实施了急性中风单位试点。诊断后专家评估、患者和工作人员满意度、住院时间、抗血小板患者出院百分比和护理计划提供的变化。战略变化之间的合作伙伴关系地铁为基础的中风专家和现场中风协调员基于一个区域站点。关键决策者（即医院行政人员）的早期参与。这种模式提高了诊断的准确性，减少了资源的使用，包括诊断测试、病人转移和工作人员部署。病人、家属和工作人员报告了很高的满意度。该试点转变为可持续的卫生服务资助模式，融入“常规”护理。build试点启用了区域卫生服务的卒中单元认证。由资源充足的当地卒中协调员启用的远程卒中单元模式可能是确保所有澳大利亚人都能获得卒中单元护理的关键。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.