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Stroke 39, 6 (2008) 1920-8
Stroke in rural areas and small communities.
Jacques Joubert, Louise F Prentice, Thierry Moulin 1, Siaw-Teng Liaw, Lynette B Joubert, Pierre-Marie Preux 2, 3, 4, Dallas Ware, Elizabeth Medeiros de Bustos, Allan McLean

The management of stroke in rural and regional areas is variable in both the developed and developing world. Informed by best-practice guidelines and recommendations for systems of stroke care, adaptable models of care that are appropriate for local needs should be devised for rural and regional settings. This review addresses the issue of the provision of appropriate services in rural and regional settings, with particular attention to the barriers involved, according to the classification of Low Human Development Country (LHDC), Medium Human Development Country (MHDC) and High Human Development Country (HHDC). We discuss the need and feasibility of developing implementing stroke care in rural settings according to best-practice recommendations, within models of care adapted to local conditions.
1 :  Laboratoire d'Astrophysique de Grenoble (LAOG)
CNRS : UMR5571 – OSUG – INSU – Université Joseph Fourier - Grenoble I
2 :  Neuroépidémiologie Tropicale et Comparée (NETEC)
Université de Limoges : EA3174 – IFR145 GEIST – Institut d'Epidémiologie Neurologique et de Neurologie Tropicale
3 :  Service de l'Information Médicale et de l'Évaluation (SIME)
CHU Limoges
4 :  Laboratoire de Biostatistique et d'Informatique Médicale
Université de Limoges
Sciences du Vivant/Neurosciences