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Are we there yet? Exploring the journey to quality stroke care for Aboriginal and Torres Strait Islander peoples in rural and remote Queensland.
CONCLUSION: An integrated patient centred model of care that spans the care continuum and places value on an extended role for the Aboriginal and Torres Strait Islander health worker workforce is indicated, as is an increased utilisation of allied health and specialist follow-up close to home. PMID: 31487467 [PubMed - in process]
Source: Rural and Remote Health - September 7, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Challenges of delivering evidence-based stroke services for rural areas in Australia.
CONCLUSION: Evidence-based stroke care, aligned with current national standards is the key to providing adequate stroke services in rural Australia. Improved health service resourcing and better utilisation of currently available resources are options for achieving elements of evidence-based stroke care. IMPLICATIONS FOR PUBLIC HEALTH: Availability of adequate services for stroke patients directly impacts public health as it determines health outcomes for these patients. Indirect implications for public health include the effects on health professionals and the general public. PMID: 31990135 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - January 27, 2020 Category: Rural Health Authors: Prior SJ, Reeves NS, Campbell SJ Tags: Aust J Rural Health Source Type: research

Quality of acute stroke care in a regional Victorian hospital, Australia.
CONCLUSION: The timeliness of brain imaging and thrombolysis was comparable in the study hospital to that of the national standard, while other stroke management indicators still require improvement. Continuing efforts for improvement and revisiting possible areas of delay are warranted. PMID: 30945784 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - April 3, 2019 Category: Rural Health Authors: Yang TWW, Islam MR Tags: Aust J Rural Health Source Type: research

Stroke survivors' perspectives on recovering in rural and remote Australia: A systematic mixed studies review
CONCLUSION: Stroke survivors recovering in rural and remote locations want to live their life by doing what matters to them, despite the challenges they face. They want support in ways that work for them in their environment. Further research is required to tailor support for stroke survivors that is specific to their life in rural and remote locations.PMID:34918349 | DOI:10.1111/1440-1630.12779
Source: Rural Remote Health - December 17, 2021 Category: Rural Health Authors: Sarah M Jackson Bridee A Neibling Ruth N Barker Source Type: research

Evaluating remote facilitation intensity for multi-national translation of nurse-initiated stroke protocols (QASC Australasia): a protocol for a cluster randomised controlled trial
DISCUSSION: We will generate new evidence on the most effective facilitation intensity to support implementation of nurse-initiated stroke protocols nationwide, reducing geographical barriers for those in rural and remote areas.TRIAL REGISTRATION: ACTRN12622000028707. Registered 14 January, 2022.PMID:36703172 | DOI:10.1186/s13012-023-01260-9
Source: Rural Remote Health - January 26, 2023 Category: Rural Health Authors: O Fasugba S Dale E McInnes D A Cadilhac M Noetel K Coughlan B McElduff J Kim T Langley N W Cheung K Hill V Pollnow K Page E Sanjuan Menendez E Neal S Griffith L J Christie J Slark A Ranta C Levi J M Grimshaw S Middleton Source Type: research

Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
Front Neurol. 2021 Nov 11;12:665808. doi: 10.3389/fneur.2021.665808. eCollection 2021.ABSTRACTDelays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTI...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Rebecca J Hood Steven Maltby Angela Keynes Murielle G Kluge Eugene Nalivaiko Annika Ryan Martine Cox Mark W Parsons Christine L Paul Carlos Garcia-Esperon Neil J Spratt Christopher R Levi Frederick R Walker Source Type: research

TACTICS - Trial of Advanced CT Imaging and Combined Education Support for Drip and Ship: evaluating the effectiveness of an 'implementation intervention' in providing better patient access to reperfusion therapies: protocol for a non-randomised controlled stepped wedge cluster trial in acute stroke
BMJ Open. 2022 Feb 11;12(2):e055461. doi: 10.1136/bmjopen-2021-055461.ABSTRACTINTRODUCTION: Stroke reperfusion therapies, comprising intravenous thrombolysis (IVT) and/or endovascular thrombectomy (EVT), are best practice treatments for eligible acute ischemic stroke patients. In Australia, EVT is provided at few, mainly metropolitan, comprehensive stroke centres (CSC). There are significant challenges for Australia's rural and remote populations in accessing EVT, but improved access can be facilitated by a 'drip and ship' approach. TACTICS (Trial of Advanced CT Imaging and Combined Education Support for Drip and Ship) aim...
Source: Rural Remote Health - February 12, 2022 Category: Rural Health Authors: Annika Ryan Christine L Paul Martine Cox Olivia Whalen Andrew Bivard John Attia Christopher Bladin Stephen M Davis Bruce C V Campbell Mark Parsons Rohan S Grimley Craig Anderson Geoffrey A Donnan Christopher Oldmeadow Sarah Kuhle Frederick R Walker Rebecc Source Type: research

Impact of an outpatient telestroke clinic on management of rural stroke patients
CONCLUSION: The telestroke clinic was very well attended, and it led to high volume of interventions in rural stroke patients.PMID:35412702 | DOI:10.1111/ajr.12849
Source: The Australian Journal of Rural Health - April 12, 2022 Category: Rural Health Authors: Carlos Garcia-Esperon Beng Lim Alvin Chew Fiona Minett Joseph Cheah Jennifer Rutherford Bradley Wilsmore Mark W Parsons Christopher R Levi Neil J Spratt Source Type: research

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