Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA

Tamara Tse, Leeanne Carey, Dominique Cadilhac, Gerald Choon Huat Koh, Carolyn Baum

Research output: Contribution to journalReview ArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Aim: To examine how Australia, Singapore and the United States of America (USA) match to the World Stroke Organization Global Stroke Services health system monitoring indicators (HSI). Design: Descriptive comparative study Participants: The health systems of Australia, Singapore, the USA. Outcome measures: Published data available from each country were mapped to the 10 health system monitoring indicators proposed by the World Stroke Organization. Results: Most health system monitoring indicators were at least partially met in each country. Thrombolytic agents were available for use in acute stroke. Stroke guidelines and stroke registry data were available in all three countries. Stroke incidence, prevalence, and mortality rates were available but at non-uniform times post-stroke. The International Classification of Disease 9 or 10 coding systems are used in all three countries. Standardized clinical audits are routine in Australia and the USA, but not in Singapore. The use of the modified Rankin Scale is collected sub-acutely but not at one year post-stroke in all three countries. Conclusions: The three developed countries are performing well against the World Stroke Organization health system monitoring indicators for acute and sub-acute stroke care. However, improvements in stroke risk assessment and at one-year post-stroke outcome measurement are needed.

Original languageEnglish
Pages (from-to)852-859
Number of pages8
JournalInternational Journal of Stroke
Volume11
Issue number8
DOIs
Publication statusPublished - 1 Oct 2016

Keywords

  • Australia
  • Health System Indicators
  • Singapore
  • Stroke
  • United States of America
  • World Stroke Organization

Cite this

@article{d0db6e0221884a00a666e7d5836aa1b2,
title = "Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA",
abstract = "Aim: To examine how Australia, Singapore and the United States of America (USA) match to the World Stroke Organization Global Stroke Services health system monitoring indicators (HSI). Design: Descriptive comparative study Participants: The health systems of Australia, Singapore, the USA. Outcome measures: Published data available from each country were mapped to the 10 health system monitoring indicators proposed by the World Stroke Organization. Results: Most health system monitoring indicators were at least partially met in each country. Thrombolytic agents were available for use in acute stroke. Stroke guidelines and stroke registry data were available in all three countries. Stroke incidence, prevalence, and mortality rates were available but at non-uniform times post-stroke. The International Classification of Disease 9 or 10 coding systems are used in all three countries. Standardized clinical audits are routine in Australia and the USA, but not in Singapore. The use of the modified Rankin Scale is collected sub-acutely but not at one year post-stroke in all three countries. Conclusions: The three developed countries are performing well against the World Stroke Organization health system monitoring indicators for acute and sub-acute stroke care. However, improvements in stroke risk assessment and at one-year post-stroke outcome measurement are needed.",
keywords = "Australia, Health System Indicators, Singapore, Stroke, United States of America, World Stroke Organization",
author = "Tamara Tse and Leeanne Carey and Dominique Cadilhac and Koh, {Gerald Choon Huat} and Carolyn Baum",
year = "2016",
month = "10",
day = "1",
doi = "10.1177/1747493016660104",
language = "English",
volume = "11",
pages = "852--859",
journal = "International Journal of Stroke",
issn = "1747-4930",
publisher = "Wiley-Blackwell",
number = "8",

}

Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA. / Tse, Tamara; Carey, Leeanne; Cadilhac, Dominique; Koh, Gerald Choon Huat; Baum, Carolyn.

In: International Journal of Stroke, Vol. 11, No. 8, 01.10.2016, p. 852-859.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - Application of the World Stroke Organization health system indicators and performance in Australia, Singapore, and the USA

AU - Tse, Tamara

AU - Carey, Leeanne

AU - Cadilhac, Dominique

AU - Koh, Gerald Choon Huat

AU - Baum, Carolyn

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Aim: To examine how Australia, Singapore and the United States of America (USA) match to the World Stroke Organization Global Stroke Services health system monitoring indicators (HSI). Design: Descriptive comparative study Participants: The health systems of Australia, Singapore, the USA. Outcome measures: Published data available from each country were mapped to the 10 health system monitoring indicators proposed by the World Stroke Organization. Results: Most health system monitoring indicators were at least partially met in each country. Thrombolytic agents were available for use in acute stroke. Stroke guidelines and stroke registry data were available in all three countries. Stroke incidence, prevalence, and mortality rates were available but at non-uniform times post-stroke. The International Classification of Disease 9 or 10 coding systems are used in all three countries. Standardized clinical audits are routine in Australia and the USA, but not in Singapore. The use of the modified Rankin Scale is collected sub-acutely but not at one year post-stroke in all three countries. Conclusions: The three developed countries are performing well against the World Stroke Organization health system monitoring indicators for acute and sub-acute stroke care. However, improvements in stroke risk assessment and at one-year post-stroke outcome measurement are needed.

AB - Aim: To examine how Australia, Singapore and the United States of America (USA) match to the World Stroke Organization Global Stroke Services health system monitoring indicators (HSI). Design: Descriptive comparative study Participants: The health systems of Australia, Singapore, the USA. Outcome measures: Published data available from each country were mapped to the 10 health system monitoring indicators proposed by the World Stroke Organization. Results: Most health system monitoring indicators were at least partially met in each country. Thrombolytic agents were available for use in acute stroke. Stroke guidelines and stroke registry data were available in all three countries. Stroke incidence, prevalence, and mortality rates were available but at non-uniform times post-stroke. The International Classification of Disease 9 or 10 coding systems are used in all three countries. Standardized clinical audits are routine in Australia and the USA, but not in Singapore. The use of the modified Rankin Scale is collected sub-acutely but not at one year post-stroke in all three countries. Conclusions: The three developed countries are performing well against the World Stroke Organization health system monitoring indicators for acute and sub-acute stroke care. However, improvements in stroke risk assessment and at one-year post-stroke outcome measurement are needed.

KW - Australia

KW - Health System Indicators

KW - Singapore

KW - Stroke

KW - United States of America

KW - World Stroke Organization

UR - http://www.scopus.com/inward/record.url?scp=84990822425&partnerID=8YFLogxK

U2 - 10.1177/1747493016660104

DO - 10.1177/1747493016660104

M3 - Review Article

VL - 11

SP - 852

EP - 859

JO - International Journal of Stroke

JF - International Journal of Stroke

SN - 1747-4930

IS - 8

ER -