Letters Hyperacute stroke care

Improving acute stroke services in the Netherlands

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g3957 (Published 24 June 2014) Cite this as: BMJ 2014;348:g3957
  1. Mgaarten M H Lahr, postdoctoral researcher1,
  2. Durk-Jouke van der Zee, associate professor2,
  3. Gert-Jan Luijckx, consultant stroke physician1,
  4. Patrick C A J Vroomen, consultant stroke physician1,
  5. Erik Buskens, professor of medical technology assessment, program director Healthy Ageing3
  1. 1Department of Neurology, University Medical Centre Groningen, University of Groningen, 9700 RB Groningen, Netherlands
  2. 2Department of Operations, Faculty of Economics and Business, University of Groningen, 9747 AE Groningen, Netherlands
  3. 3Medical Technology Assessment, Department of Epidemiology, University Medical Centre Groningen, University of Groningen, 9700 RB Groningen, Netherlands

Monks and colleagues report on England’s NHS business plan for hyperacute stroke care.1 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.2 In 2010 a six month observational multicentre …

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