Acute stroke care coordination in the United States: Variation in state laws for Emergency Medical Services and hospitals.

ABSTRACT:

Background

Lack of care coordination between Emergency Medical Services (EMS) and hospitals contributes to delay of acute stroke (AS) treatment. In the United States, states have adopted laws to improve the quality of EMS and hospital care; the degree to which these laws create regulatory incentives to promote care coordination between them is less well known. We examined state variation in attributes of laws that may influence AS care coordination between EMS and hospitals.

Materials and methods

We selected ten law "dyads" across seven domains of EMS and hospital AS care informed by published risk assessments of critical steps for improved door-to-needle time and door-in-door-out time. We assessed concordance in prescriptiveness (degree to which levels were similar) and in

SUBMITTER: Ye Z 

PROVIDER: S-EPMC11882019 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature