title: [A survey of neurological medical care resources in grade II suburban and urban hospitals in Beijing].
abstract: OBJECTIVE
  To survey the current availability of expertise in diagnosis and treatment of neurological diseases in grade II hospitals (primary hospitals) in Beijing.
  
  
  METHODS
  Observation, personal in-depth interview and structured questionnaire methods were conducted to survey the status of neurology health care system.
  
  
  RESULTS
  From June to August 2005, 66 grade II suburban and urban hospitals in Beijing of China were investigated. There were 66 grade II hospitals in Beijing (suburban 34; urban 32). Cerebrovascular disease was the most common disease. Accounting for 84% of the hospitalized cases in inpatients neurology departments. In urban areas, the proportion of grade II and grade III hospitals (referral hospitals) was 58:60, but in suburban and rural areas, the proportion was 48:6. In suburban and rural areas. Only 64.7% of the hospitals could provide urokinase treatment, 26.5% could provide recombinant tissue plasminogen activator (rt-PA) treatment and 58.8% had standardized operation protocol.
  
  
  CONCLUSIONS
  The grade II hospitals in suburban areas have heavy grave responsibility to deal with cerebrovascular disease, but these hospitals are in lack of specialists, diagnostic equipment and stroke treatment protocols and could not satisfy the medical demand. It is suggested that in the grade II hospitals in suburban areas of Beijing, strengthening personnel training, establishing primary stroke center and setting up telestroke emergency care systems are urgently needed.
authors.affiliation: Department of Neurology, Beijing Tiantan Hospital, Capital University of Medical Sciences, Beijing 100050, China. yilong528@gmail.com
authors.forename: Yi-long
authors.initials: YL
authors.lastname: Wang
authors.forename: Yong-jun
authors.initials: YJ
authors.lastname: Wang
authors.forename: Xing-quan
authors.initials: XQ
authors.lastname: Zhao
authors.forename: Xiao-ling
authors.initials: XL
authors.lastname: Liao
authors.forename: Di
authors.initials: D
authors.lastname: Wu
authors.forename: Ya-qin
authors.initials: YQ
authors.lastname: Yang
authors.forename: Chang-mei
authors.initials: CM
authors.lastname: Hu
authors.forename: Qi-dong
authors.initials: QD
authors.lastname: Chen
authors.forename: Qing
authors.initials: Q
authors.lastname: Yang
mesh_terms: D002681:China; D004865:Equipment and Supplies, Hospital / Q000706:statistics & numerical data; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data; D006748:Hospital Departments / Q000600:supply & distribution*; D006766:Hospitals, County; D009462:Neurology; D040841:Resource Allocation / Q000458:organization & administration* / Q000600:supply & distribution*; D011795:Surveys and Questionnaires