表格2：解决农村地区卒中患者就医差异的政策实施策略

数据集获取（Figshare）

• 源站标题：Table2_Policy implementation strategies to address rural disparities in access to care for stroke patients.docx
• DOI：10.3389/frhs.2023.1280250.s002
• 发布日期：2023-12-07
• 文件数：1 个
• 文件总体积：29.24 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Table2_Policy_implementation_strategies_to_address_rural_disparities_in_access_to_care_for_stroke_patients_docx/24763320

命令行下载

curl -L -o "Table2_Policy implementation strategies to address rural disparities in access to care for stroke patients.docx" "https://ndownloader.figshare.com/files/43510539"

文件清单

• Table2_Policy implementation strategies to address rural disparities in access to care for stroke patients.docx（29.24 KB）

文件总体积 29.24 KB（源站 API 实测）。

数据加载示例（表格/文本类）

import pandas as pd, glob, os

files = (glob.glob(os.path.join(path, "**", "*.csv"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tsv"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.xlsx"), recursive=True))
print("数据文件:", files)
df = pd.read_csv(files[0])
print(df.shape); print(df.columns.tolist()); print(df.head(3))

数据说明

ContextStroke systems of care (SSOC) promote access to stroke prevention, treatment, and rehabilitation and ensure patients receive evidence-based treatment. Stroke patients living in rural areas have disproportionately less access to emergency medical services (EMS). In the United States, rural counties have a 30% higher stroke mortality rate compared to urban counties. Many states have SSOC laws supported by evidence; however, there are knowledge gaps in how states implement these state laws to strengthen SSOC.
ObjectiveThis study identifies strategies and potential challenges to implementing state policy interventions that require or encourage evidence-supported pre-hospital interventions for stroke pre-notification, triage and transport, and inter-facility transfer of patients to the most appropriate stroke facility.
DesignResearchers interviewed representatives engaged in implementing SSOC across six states. Informants (n = 34) included state public health agency staff and other public health and clinical practitioners.
OutcomesThis study examined implementation of pre-hospital SSOCs policies in terms of (1) development roles, processes, facilitators, and barriers; (2) implementation partners, challenges, and solutions; (3) EMS system structure, protocols, communication, and supervision; and (4) program improvement, outcomes, and sustainability.
ResultsChallenges included unequal resource allocation and EMS and hospital services coverage, particularly in rural settings, lack of stroke registry usage, insufficient technologies, inconsistent use of standardized tools and protocols, collaboration gaps across SSOC, and lack of EMS stroke training. Strategies included addressing scarce resources, services, and facilities; disseminating, training on, and implementing standardized statewide SSOC protocols and tools; and utilizing SSOC quality and performance improvement systems and approaches.
ConclusionsThis paper identifies several strategies that can be incorporated to enhance the implementation of evidence-based stroke policies to improve access to timely stroke care for all patient populations, particularly those experiencing disparities in rural communities.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.3389/frhs.2023.1280250.s002（source: https://frontiersin.figshare.com/articles/dataset/Table2_Policy_implementation_strategies_to_address_rural_disparities_in_access_to_care_for_stroke_patients_docx/24763320）。