title: [Centralisation of acute stroke care is not better].
abstract: There is no evidence that centralisation of acute stroke care will lead to more performance of thrombolysis, in the Netherlands, to a reduction in the 'door-to-needle' time or a better outcome after stroke. The implementation of far-reaching changes in acute stroke care in the Netherlands would be dangerous, and would not lead to better and cheaper, but to worse and more expensive care.
authors.affiliation: Rijnland Ziekenhuis, afd. Neurologie, Leiderdorp.
authors.forename: Els
authors.initials: E
authors.lastname: De Schryver
mesh_terms: D002497:Centralized Hospital Services; D006801:Humans; D009426:Netherlands; D011787:Quality of Health Care; D020521:Stroke / Q000628:therapy*; D015912:Thrombolytic Therapy; D013997:Time Factors; D016896:Treatment Outcome