Université Lyon, université Claude-Bernard Lyon 1, HESPER EA 7425, 8, avenue Rockefeller, 69008 Lyon, France; Télémédecine 360, TLM360, 75116 Paris, France; CIC-1431, Inserm, département de neurologie, CHRU Besançon, 25000 Besançon, France; EA 481, laboratoire de neurosciences intégratives et cliniques, université de Franche-Comté, UBFC, 25000 Besançon, France.
Direction générale de l'offre de soins, Ministère des solidarités et de la santé, 75008 Paris, France.
Rev Neurol (Paris). 2019 Jun;175(6):390-395. doi: 10.1016/j.neurol.2018.10.002. Epub 2019 Feb 6.
Stroke is a public health priority in France. The use of telemedicine for stroke known as telestroke, is a safe and effective practice improving access to acute stroke care including thrombolysis. Telestroke is currently being implemented in France. The objective was to describe the public health policy supporting telestroke implementation in France.
An external ex-post evaluation of telestroke policy in France was conducted through a retrospective descriptive study from 2003 to 31 December 2016. Process, content, and actors of the health policy were described at a national level. The logical framework of the telestroke policy was described. The stages model of public policy from the 'Institut National de Santé Publique du Quebec' was used.
Agenda setting was produced from 2003 to 2007. Policy formulation lasted from 2008 to 2009 with official reports on telemedicine, telehealth and stroke. The decision-making stage included the national stroke plan, the national telemedicine implementation strategy and an administrative document in 2012 that described the organization of telestroke implementation. Implementation in 2011 was initiated with dedicated funding and methodological resources. No dedicated evaluation of policy for telestroke was defined.
Using a health policy model allowed to describe the policies supporting telestroke implementation in France and to highlight the need for better evaluation.
中风是法国的一个公共卫生重点。使用远程医疗进行中风治疗，即远程中风，是一种安全有效的实践，可以改善急性中风护理的可及性，包括溶栓治疗。远程中风目前正在法国实施。目的是描述支持法国远程中风实施的公共卫生政策。
通过对 2003 年至 2016 年 12 月 31 日的回顾性描述性研究，对法国远程中风政策进行了外部事后评估。在国家层面描述了卫生政策的过程、内容和行为者。描述了远程中风政策的逻辑框架。使用了魁北克省公共卫生研究所的公共政策阶段模型。
从 2003 年到 2007 年制定了议程。从 2008 年到 2009 年制定了政策，其中包括关于远程医疗、远程保健和中风的正式报告。决策阶段包括国家中风计划、国家远程医疗实施战略以及 2012 年描述远程中风实施组织的行政文件。2011 年开始实施，提供了专门的资金和方法资源。没有为远程中风政策制定专门的评估。
使用卫生政策模型可以描述支持法国远程中风实施的政策，并强调需要更好的评估。
