Bridging the quality gap: Stroke

May 2008

Sheila Leatherman
Kim Sutherland
Mara Airoldi
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Key points

  • Summarises quality of care using six key domains of care – effectiveness, access, capacity, safety, patient centredness and equity.
  • Provides data on quality of care in stroke and illustrates the gap between actual and achievable performance. It provides international benchmarking data to highlight deficiencies in stroke services and variation in care across the country.
  • Reviews available evidence about how to bridge the quality gap in stroke care. Drawing on systematic reviews of the literature, it illustrates the current state of knowledge about ‘what works’ to improve organisational performance and presents emergent research data on the impact of stroke interventions on the avoidable burden of disease.
  • Summarises those improvements that would generate the highest value outcomes for patients. It offers a framework through which we can catalyse change by engaging all staff, leaders, managers and clinicians.
  • Presents epidemiological data and summarises recent policy documents on stroke, providing the context against which quality can be judged.

Bridging the quality gap explores the quality of our stroke care and creates a new lens through which we can view stroke care. For the first time, the report brings together data on the performance of stroke services, the evidence of what works and the cost implications. It is a blueprint for immediate action.

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