Acute stroke awareness of family physicians: translation of policy to practice
- PDF / 1,274,451 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 23 Downloads / 174 Views
Open Access
RESEARCH
Acute stroke awareness of family physicians: translation of policy to practice Szilvia Harsanyi1,2, Nandor Balogh1, Laszlo Robert Kolozsvari3, Laszlo Mezes1, Csaba Papp4 and Judit Zsuga1*
Abstract Background: Translating clinical guidelines into routine clinical practice is mandatory to achieve population level improvement of health. Emergence of specific therapy for acute stroke yielded the ‘time is brain’ concept introducing the need for emergency treatment, pointing to the need for increasing stroke awareness of the general population. General practitioners (GPs) manage chronic diseases and could hence catalyse stroke awareness. In our study, the knowledge of general practitioners toward accurate identification of acute stroke candidacy was investigated. Methods: GPs and residents in training for family medicine participated in a survey on a voluntary basis using supervised self-administration between the 1st of February 2018 and 31st July 2018. Two clinical cases of acute stroke that differed only regarding the patient’s eligibility for intravenous thrombolysis were presented. Participants answered two open-ended questions. Text analysis was performed using NVIVO software. Results: Of the 127 respondents, 69 (54.3%) were female. The median age was 49 (34–62) years. The median time spent working after graduation was 14.5 (2–22.5) years. Board-certified GPs made up 77.2% of the sample. Qualitative analysis revealed stroke as the most frequent diagnosis for both cases. Territorial localization and possible aetiology were also established. Respondents properly identified eligibility for thrombolysis. Quantitative assessment showed that having the practice closer to the stroke centre increases the likelihood of adequate diagnosis for acute stroke. Conclusions: Our results show that GPs properly diagnose acute stroke and identify intravenous thrombolysis candidates. Moreover, we found that a vigorous acute stroke triage system facilitates the translation of theory into practice. Keywords: Acute stroke, Translational research, Word cloud, Primary care Introduction Translating scientific evidence into clinical practice is fundamental to attain population level positive health outcomes [1]. Accordingly, several frameworks addressing translational research, including the RE-AIM model [2], the research translation continuum model [3] or the evidence-based public health model [4], emphasize the need for systems level interventions to facilitate the widespread clinical implementation of medical discoveries. A *Correspondence: [email protected] 1 Department of Health Systems Management and Quality Management for Health Care, Faculty of Public Health, University of Debrecen, Nagyerdei krt. 98, Debrecen 4032, Hungary Full list of author information is available at the end of the article
significant step in the ‘bench to bedside’ process concerns the dissemination of interventions, e.g. once clinical practice guidelines disclose evidence-based recommendations, general implementation by the
Data Loading...
