Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study

Fulop, Naomi J; Ramsay, Angus I G; Hunter, Rachael M; McKevitt, Christopher; Perry, Catherine; Turner, Simon J; Boaden, Ruth; Papachristou, Iliatha; Rudd, Anthony G; Tyrrell, Pippa J; Wolfe, Charles D A; Morris, Stephen

doi:10.3310/hsdr07070

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Centralising acute stroke services in urban areas can reduce mortality and length of stay, and increase delivery of evidence-based care; type of service model, planning change and context affect implementation.

Naomi J Fulop , Angus I G Ramsay , Rachael M Hunter , Christopher McKevitt , Catherine Perry , Simon J Turner , Ruth Boaden , Iliatha Papachristou , Anthony G Rudd , Pippa J Tyrrell , Charles D A Wolfe & Stephen Morris .

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Naomi J Fulop ^1,^*, Angus I G Ramsay ¹, Rachael M Hunter ², Christopher McKevitt ³, Catherine Perry ⁴, Simon J Turner ⁵, Ruth Boaden ⁴, Iliatha Papachristou ⁶, Anthony G Rudd ⁷, Pippa J Tyrrell ⁸, Charles D A Wolfe ³, Stephen Morris ¹

¹ Department of Applied Health Research, University College London, London, UK
² Research Department of Primary Care and Population Health, University College London, London, UK
³ Department of Population Health Sciences, School of Population Health & Environmental Sciences Research, King’s College London, London, UK
⁴ Alliance Manchester Business School, University of Manchester, Manchester, UK
⁵ Centre for Primary Care, Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK
⁶ Department of Psychological Medicine, King’s College London, London, UK
⁷ Guy’s and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, London, UK
⁸ Stroke and Vascular Centre, University of Manchester, Manchester Academic Health Science Centre, Salford Royal Hospitals NHS Foundation Trust, Salford, UK
^* Corresponding author Email: n.fulop@ucl.ac.uk

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