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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Geographic Access to Stroke Care Services in Rural Communities in Ontario, Canada
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Geographic Access to Stroke Care Services in Rural Communities in Ontario, Canada

机译：加拿大安大略省农村社区中风护理服务的地理访问

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Background: Optimal stroke care requires access to resources such as neuroimaging, acute revascularization, rehabilitation, and stroke prevention services, which may not be available in rural areas. We aimed to determine geographic access to stroke care for residents of rural communities in the province of Ontario, Canada. Methods: We used the Ontario Road Network File database linked with the 2016 Ontario Acute Stroke Care Resource Inventory to estimate the proportion of people in rural communities, defined as those with a population size <10,000, who were within 30, 60, and 240 minutes of travel time by car from stroke care services, including brain imaging, thrombolysis treatment centers, stroke units, stroke prevention clinics, inpatient rehabilitation facilities, and endovascular treatment centers. Results: Of the 1,496,262 people residing in rural communities, the majority resided within 60 minutes of driving time to a center with computed tomography (85%), thrombolysis (81%), a stroke unit (68%), a stroke prevention clinic (74%), or inpatient rehabilitation (77.0%), but a much lower proportion (32%) were within 60 minutes of driving time to a center capable of providing endovascular thrombectomy (EVT). Conclusions: Most rural Ontario residents have appropriate geographic access to stroke services, with the exception of EVT. This information may be useful for jurisdictions seeking to optimize the regional organization of stroke care services.
机译：背景：最佳行程护理需要获得神经影像动物，急性血运重建，康复和卒中预防服务等资源，这可能在农村地区不提供。我们旨在确定加拿大安大略省农村社区居民的地理访问。方法：我们使用与2016年安大略省急性冲程护理资源库存相关联的Ontario Road网络文件数据库，以估算农村社区中人民的比例，定义为人口大小的人数<10,000，谁在30,60和240分钟内从中风护理服务乘车的旅行时间，包括脑成像，溶栓治疗中心，卒中单元，卒中预防诊所，住院康复设施和血管内治疗中心。结果：居住在农村社区的1,496,262人中，大多数人在驾驶时间60分钟内居住在一个有计算机断层扫描（85％），溶栓（81％），行程单元（68％），中风预防诊所（ 74％）或住院性康复（77.0％），但比例低得多（32％）在驾驶时间的60分钟内到能够提供血管内血液切除术（EVT）的中心。结论：大多数农村安大略省居民都有适当的地理访问中风服务，除了EVT。这些信息可能对寻求优化中风护理服务区域组织的司法管辖区有用。

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