Q&A with Dr. Cadilhac
Stroke Progress and Innovation Awards 2014
Dominique A. Cadilhac, PhD, MPH, BN
Dominique A. Cadilhac, Tara Purvis, Monique F. Kilkenny, Mark Longworth, Katherine Mohr, Michael Pollack, and Christopher R. Levi, on behalf of the New South Wales Strokes Services Coordinating Committee and the Agency for Clinical Innovation
SPOTLIGHT: Q&A with Dr. Cadilhac
What is the key take-away message from your article?
Investment in Stroke Clinical Coordinators who implemented organisational change, together with increased clinician resources, effectively improved stroke care in rural hospitals resulting in more patients being discharged home. These findings are relevant to countries which do not have universal access to stroke units (SUs) and show that investment in leadership roles is worthwhile.
What prompted you and your co-authors to perform this study?
Inconsistent access to evidence-based interventions, such as SUs, has been shown to have detrimental effects on patient outcomes. Importantly, geographic location also influences patient outcomes, with greater levels of death or dependency for patients with stroke in rural communities.
What is innovative about this work? And what are its applications?
The establishment of non-medial leadership roles for driving health system change was found to be an effective way of addressing a shortage of medical specialists in rural areas of Australia. The coordinators included nursing and allied health clinicians with expertise in stroke care and were able to provide clinical leadership for acute stroke care.
Tell us about the biggest challenge you came across while conducting this study.
Ensuring that we had allowed sufficient time for the Rural Stroke Care Coordinators to have established their improvements to the stroke services at their hospital before we re-evaluated the impact of these efforts.
Click the article title above to access the manuscript online for free.