Journal article

Hospital organizational context and delivery of evidence-based stroke care: A cross-sectional study

NE Andrew, S Middleton, R Grimley, CS Anderson, GA Donnan, NA Lannin, E Striol-Salama, B Grabsch, MF Kilkenny, JE Squires, DA Cadilhac

Implementation Science | BMC | Published : 2019

Open access

Abstract

Background: Organizational context is one factor influencing the translation of evidence into practice, but data pertaining to patients with acute stroke are limited. We aimed to determine the associations of organizational context in relation to four important evidence-based stroke care processes. Methods: This was a mixed methods cross-sectional study. Among 19 hospitals in Queensland, Australia, a survey was conducted of the perceptions of stroke clinicians about their work using the Alberta Context Tool (ACT), a validated measure covering 10 concepts of organizational context, and with additional stroke-specific contextual questions. These data were linked to the Australian Stroke Clinic..

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University of Melbourne Researchers

Grants

Awarded by Queensland Health


Funding Acknowledgements

Stroke123 was supported by a Partnerships for Better Health project grant from the National Health and Medical Research Council (1034415), Monash University, Queensland Department of Health, and the Stroke Foundation of Australia. During the project, the following authors were supported by fellowship funding from the NHMRC: DAC 1063761 co-funded by Heart Foundation, NEA 1072053, MFK 1109426, CSA 1081356, and NAL 1112158. AuSCR also received restricted education grants from Allergan Australia, Ipsen, and Boehringer Ingelheim, as well as several donations from consumers.