Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14279/29000
Title: Establishing Organized Stroke Care in Low- and Middle-Income Countries: From Training of Non-specialist to Implementation
Authors: Sebastian, Ivy Anne 
Demers, Marika 
Yeghiazaryan, Nune 
Asyraf WZ, Wan 
Nasreldein, Ahmed 
Gopaul, Urvashy 
Charalambous, Marina 
Thilarajah, Shamala 
Khim, Kwah Li 
Y Vishnu, Venugopalan 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: Non-specialist stroke care;Physician-led stroke care;Alternative stroke care models;Telestroke
Issue Date: 30-Mar-2023
Source: Journal of Stroke Medicine, 2023
Journal: Journal of Stroke Medicine 
Abstract: Low- and middle-income countries (LMICs) suffer from a higher stroke burden compared to high-income countries with higher mortality and disability due to stroke. However, the availability of resources, both infrastructural and personnel, is widely discrepant. The lack of specialist neurologists or stroke physicians in LMICs makes it imperative to rely on alternative models of stroke care. Task-sharing models such as the physician-led model or the non-specialist model have been evaluated previously with evidence for feasibility and cost-effectiveness. We propose to implement and assess the effectiveness of a non-specialist model of stroke care across 3 LMICs through a structured capacity building program, augmented by a tailored mobile application to guide the non-specialists in delivering optimal stroke care. This study will provide essential information on the effectiveness of a non-specialist driven delivery of stroke care on a larger scale across different regional contexts.
URI: https://hdl.handle.net/20.500.14279/29000
ISSN: 2516-6093
DOI: 10.1177/25166085231158425
Rights: © The Author(s) Attribution-NoDerivatives 4.0 International
Type: Article
Affiliation : St Stephen’s Hospital 
University of Southern California 
National Institute of Health Armenia 
Universiti Kebangsaan Malaysia 
Assuit University 
Toronto Rehabilitation Institute 
Cyprus University of Technology 
Singapore General Hospital 
Singapore Institute of Technology 
All India Institute of Medical Sciences 
Appears in Collections:Άρθρα/Articles

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