title: Stroke care quality in China: Substantial improvement, and a huge challenge and opportunity.
abstract: Stroke is The first two authors contributed equally. the leading cause of death and adult disability in China. Although evidence-based clinical interventions have been identified to improve care and outcomes in stroke, significant gaps still exist between guideline recommendations and clinical practice in China. Regional and national stroke registries have been used to assess the benchmark of stroke care quality, provide feedback on compliance with evidence-based performance measures to health care providers, and continuously improve stroke care quality without increasing additional medical costs in the past several decades worldwide. In China, stroke care has become a national priority. A series of stroke care quality assessment and improvement actions was initiated by the Ministry of Health to increase the detection of high-risk populations with stroke, rate of adherence to evidence-based process performance measures of stroke care, and stroke care organization development, aiming to decrease the burden of stroke. China National Stroke Registries have been started in 2007, and they are conducted every 3 to 5 years. A carotid disease screen and intervention project for communities was initiated in 2009. The Chinese Stroke Association, founded in 2015, launched the Chinese Stroke Center Alliance to increase the stroke center design in the near future. In this article, we described these stroke care actions and progression, summarized the benchmark and improvement of stroke care quality, and outlined the future plans in China.
authors.affiliation: 1 Tiantan Clinical Trial and Research Center for Stroke, Department of Neurology, Capital Medical University, Beijing, China.|2 China National Clinical Research Center for Neurological Diseases, Ministry of Science and Technology, Beijing, China.
authors.forename: Yilong
authors.initials: Y
authors.lastname: Wang
authors.affiliation: 2 China National Clinical Research Center for Neurological Diseases, Ministry of Science and Technology, Beijing, China.|3 Vascular Neurology, Department of Neurology, Capital Medical University, Beijing, China.
authors.forename: Zixiao
authors.initials: Z
authors.lastname: Li
authors.affiliation: 3 Vascular Neurology, Department of Neurology, Capital Medical University, Beijing, China.|4 Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China.
authors.forename: Xingquan
authors.initials: X
authors.lastname: Zhao
authors.affiliation: 5 OSF Healthcare System, University of Illinois College of Medicine, Peoria, USA.
authors.forename: David
authors.initials: D
authors.lastname: Wang
authors.affiliation: 1 Tiantan Clinical Trial and Research Center for Stroke, Department of Neurology, Capital Medical University, Beijing, China.|2 China National Clinical Research Center for Neurological Diseases, Ministry of Science and Technology, Beijing, China.
authors.forename: Hao
authors.initials: H
authors.lastname: Li
authors.affiliation: 6 Department of Neurology, Duke University, Durham, USA.
authors.forename: Ying
authors.initials: Y
authors.lastname: Xian
authors.affiliation: 7 Neuro-Intensive Care Unit, Department of Neurology, Capital Medical University, Beijing, China.|8 Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing Municipal Committee of Science and Technology, Beijing, China.
authors.forename: Liping
authors.initials: L
authors.lastname: Liu
authors.affiliation: 2 China National Clinical Research Center for Neurological Diseases, Ministry of Science and Technology, Beijing, China.|3 Vascular Neurology, Department of Neurology, Capital Medical University, Beijing, China.|8 Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing Municipal Committee of Science and Technology, Beijing, China.
authors.forename: Yongjun
authors.initials: Y
authors.lastname: Wang
mesh_terms: D002681:China; D006801:Humans; D011787:Quality of Health Care; D012042:Registries; D020521:Stroke / Q000628:therapy*
keywords: Quality; registry; stroke; stroke care; stroke center