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001-es BibID:	BIBFORM089656
Első szerző:	Kolozsváriné Harsányi Szilvia (okleveles egészségpolitikai szakértő)
Cím:	Acute stroke awareness of family physicians : translation of policy to practice / Harsanyi Szilvia, Balogh Nandor, Kolozsvari Laszlo Robert, Mezes Laszlo, Papp Csaba, Zsuga Judit
Dátum:	2020
ISSN:	1478-4505
Megjegyzések:	Abstract Background: Translating clinical guidelines into routine clinical practice is mandatory to achieve population level improvement of health. Emergence of specific therapy for acute stroke yielded the ♭time is brain' concept introducing the need for emergency treatment, pointing to the need for increasing stroke awareness of the general population. General practitioners (GPs) manage chronic diseases and could hence catalyse stroke awareness. In our study, the knowledge of general practitioners toward accurate identification of acute stroke candidacy was investigated. Methods: GPs and residents in training for family medicine participated in a survey on a voluntary basis using supervised self-administration between the 1st of February 2018 and 31st July 2018. Two clinical cases of acute stroke that differed only regarding the patient's eligibility for intravenous thrombolysis were presented. Participants answered two open-ended questions. Text analysis was performed using NVIVO software. Results: Of the 127 respondents, 69 (54.3%) were female. The median age was 49 (34?62) years. The median time spent working after graduation was 14.5 (2?22.5) years. Board-certified GPs made up 77.2% of the sample. Qualitative analysis revealed stroke as the most frequent diagnosis for both cases. Territorial localization and possible aetiology were also established. Respondents properly identified eligibility for thrombolysis. Quantitative assessment showed that having the practice closer to the stroke centre increases the likelihood of adequate diagnosis for acute stroke. Conclusions: Our results show that GPs properly diagnose acute stroke and identify intravenous thrombolysis candidates. Moreover, we found that a vigorous acute stroke triage system facilitates the translation of theory into practice
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Health Research Policy and Systems. - 18 : 1 (2020), p. 1-9. -
További szerzők:	Balogh Nándor Kolozsvári László Róbert (1977-) (háziorvos) Mézes László (DE Kancellária) Papp Csaba (1966-) (aneszteziológus és intenzív terápiás szakorvos) Zsuga Judit (1973-) (neurológus, pszichoterapeuta, egészségügyi szakmanager)
Pályázati támogatás:	EFOP-3.6.1-16-2016-00022 EFOP GINOP-2.3.2-15-2016-00005 GINOP 2017-1.2.1-NKP-2017- 00002 Egyéb
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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