Improving acute stroke services in the Netherlands

摘要

Monks and colleagues report on England's NHS business plan for hyperacute stroke care. A similar debate on the reorganisation of acute stroke services is ongoing in the Netherlands. In 2013, the Health Care Insurance Board (CVZ, currently named National Health Care Institute (ZiNL)) published a nationwide quality vision on emergency healthcare. In 2010 a six month observational multicentre study in the north of the Netherlands showed a one in five thrombolysis rate in a centralised organisational model compared with an average one in seven rate in decentralised care administered in community hospitals-that is, a 50% increase. Thrombolysis rates in community hospitals ranged from 9% to 23%.