Variations in adherence to stroke intervention guideline across China

Takeaway

  • In China, the overall quality of care in the regions with lower stroke incidence was higher than the ones with a high incidence. Major variations in the delivery of stroke intervention also exist among regions with different economic development levels.

Why this matters

  • The prevalence of stroke in China has been shown to follow geographical disparity; there exists a ‘stroke belt’ with high stroke incidence in 9 provincial regions. The mortality to incidence ratio varies by region, indicating disparities in access to care and quality of stroke care across China.

  • Understanding regional differences in adherence to stroke intervention guidelines should facilitate implementation of effective public health policies.