Barber P Alan, Anderson Neil E, Bennett Patricia, Gommans John
Auckland Hospital Stroke Service.
N Z Med J. 2002 Jan 25;115(1146):3-6.
To obtain an overall picture of the organisation of acute stroke management in hospitals throughout New Zealand.
A questionnaire was sent to all New Zealand hospitals. The survey included questions about access to organised stroke care, the presence of designated areas for stroke patient management, guidelines for stroke management and audit.
Responses were received from all hospitals surveyed, with 41 admitting stroke patients acutely. Five hospitals (four regional and one large urban) had organised inpatient care. Five hospitals (three regional and two large urban) had stroke physicians. Only 40-60% of the New Zealand population had access to hospitals with guidelines for the management of complications following stroke or secondary prevention. Only fifteen of 41 hospitals had audited local stroke care. There were few differences in the management of stroke patients between urban and regional centres, but care in some regional hospitals was 'better' than that in most large urban hospitals.
The development of an organised approach to inpatient stroke care in New Zealand and the training of general physcians, geriatricans and neurologists in stroke medicine must be seen as a priority.
全面了解新西兰各医院急性中风管理的组织情况。
向新西兰所有医院发送了一份调查问卷。调查内容包括有关获得有组织的中风护理的途径、中风患者管理的指定区域、中风管理指南以及审核等问题。
收到了所有参与调查医院的回复，其中41家医院急性收治中风患者。五家医院（四家地区医院和一家大型城市医院）提供了有组织的住院护理。五家医院（三家地区医院和两家大型城市医院）有中风专科医生。只有40%至60%的新西兰人口能够前往设有中风后并发症管理指南或二级预防指南的医院就医。41家医院中只有15家对当地的中风护理进行了审核。城市中心和地区中心在中风患者管理方面差异不大，但一些地区医院的护理比大多数大型城市医院的护理“更好”。
新西兰必须优先发展有组织的住院中风护理方法，并对普通内科医生、老年病医生和神经科医生进行中风医学培训。
