Stroke in Rural Areas and Small Communities

• Published in: Stroke (1970) Vol. 39; no. 6; pp. 1920 - 1928
• Main Authors: JOUBERT, Jacques, PRENTICE, Louise F, MOULIN, Thierry, LIAW, Siaw-Teng, JOUBERT, Lynette B, PREUX, Pierre-Marie, WARE, Dallas, MEDEIROS DE BUSTOS, Elizabeth, MCLEAN, Allan
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 01.06.2008; American Heart Association
• Subjects: Biological and medical sciences; Developed Countries; Developed Countries - economics; Developed Countries - statistics & numerical data; Developing Countries; Developing Countries - economics; Developing Countries - statistics & numerical data; Emergency Medical Services; Emergency Medical Services - standards; Emergency Medical Services - statistics & numerical data; Global Health; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy; Humans; Life Sciences; Medical sciences; National Health Programs; National Health Programs - standards; National Health Programs - statistics & numerical data; National Health Programs - trends; Nervous system (semeiology, syndromes); Neurology; Rural Health Services; Rural Health Services - standards; Rural Health Services - statistics & numerical data; Rural Health Services - trends; Rural Population; Rural Population - statistics & numerical data; Rural Population - trends; Santé publique et épidémiologie; Stroke; Stroke - epidemiology; Stroke - prevention & control; Stroke - therapy; Thrombolytic Therapy; Thrombolytic Therapy - statistics & numerical data; Thrombolytic Therapy - trends; Vascular diseases and vascular malformations of the nervous system; World Health; Stroke; Nervous system diseases; Rural environment; rural; Cardiovascular disease; Recommendation; Cerebral disorder; Vascular disease; Clinical management; Central nervous system disease; stroke care; Cerebrovascular disease; health care; stroke delivery
• ISSN: 0039-2499; 1524-4628
• DOI: 10.1161/STROKEAHA.107.501643

The management of stroke in rural and regional areas is variable in both the developed and developing world. Informed by best-practice guidelines and recommendations for systems of stroke care, adaptable models of care that are appropriate for local needs should be devised for rural and regional settings. This review addresses the issue of the provision of appropriate services in rural and regional settings, with particular attention to the barriers involved, according to the classification of Low Human Development Country (LHDC), Medium Human Development Country (MHDC) and High Human Development Country (HHDC). We discuss the need and feasibility of developing implementing stroke care in rural settings according to best-practice recommendations, within models of care adapted to local conditions.