Medical Management
Analysis of main problems and countermeasures in the construction of advanced stroke center in China
Zhang Hong, Chao Baohua, Han Yangyun, Xie Wei, Bian Hetao, Tu Wenjjun, Wang Longde
Published 2022-05-02
Cite as Chin J Hosp Admin, 2022, 38(5): 347-350. DOI: 10.3760/cma.j.cn111325-20220325-00258
Abstract
ObjectiveTo understand main problems existing in the construction of advanced stroke centers in China and put forward solutions, for reference in promoting the standardization construction of advanced stroke centers and improving the efficiency of acute stroke treatment.
MethodsThe data were derived from relevant data of on-site export guidance in the construction of advanced stroke centers at 175 tertiary hospitals from 2020 to 2021, and the scores of on-site evaluation indicators for the establishment of stroke centers and their formal approval were compared and analyzed. Based on on-site investigation and expert consultation, the common problems existing in the construction of advanced stroke centers were summarized. All data were analyzed by descriptive analysis, the scores of on-site evaluation indicators were expressed by 
±s, and paired t test was used for comparison between groups.
ResultsCompared with the total score(693.04±72.06) of on-site evaluation at the stage of project launch, the total score(747.94±78.10) of on-site evaluation for formal approval of stroke centers of 70 hospitals was higher, and the difference was significant(P<0.01). There were seven common problems in the construction of stroke centers in 175 hospitals, including insufficient attention paid by hospitals, lack of effective performance incentive policies, imperfect treatment procedures and medical norms, and so on.
ConclusionsExperts on-site guidance plays an important role in the construction of stroke centers in China. At present, there were still problems to tackle in the construction of stroke centers in hospitals. In order to promote the standardized construction of stroke centers in China and improve the efficiency of stroke treatment, the authors suggest fuorther strengthening the importance attached by hospital leadership and the coordination and organization of functional departments, establishing stroke center models conforming to the actual situation of the hospital, seting up the post of brain and heart health manager, and improving the regional prevention and treatment level of acute stroke.
Key words:
Stroke; Stroke center; Construction; Main problems; Countermeasure analysis
Contributor Information
Zhang Hong
Department of Science and Education, Deyang People′s Hospital, Deyang 618000, China
Chao Baohua
General Office of Stroke Prevention Project Committee, National Health Commission, Beijing 100053, China
Han Yangyun
Department of Neurosurgery, Deyang People′s Hospital, Deyang 618000, China
Xie Wei
Changzhou First People′s Hospital, Department of Neurology, Changzhou 213000, China
Bian Hetao
Beijing Institute for Brain Disorders, Capital Medical University, Beijing 100069, China
Tu Wenjjun
General Office of Stroke Prevention Project Committee, National Health Commission, Beijing 100053, China
Wang Longde
General Office of Stroke Prevention Project Committee, National Health Commission, Beijing 100053, China
±s表示，组间比较采用配对t检验。
