Stroke care preparedness across medical specialties: Gaps, challenges, and future directions

2025

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DOI 10.32921/2663-1776-2025-60-5-jhd021
Data confidence 70 medium
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Abstract

Stroke is the leading cause of death and disability worldwide, with the heaviest burden occurring in low-and middle-income countries. Effective treatment depends on timely diagnosis, prompt intervention, and well-coordinated work by medical professionals of various specialties. The aim of this study is to evaluate stroke care preparedness across specialties and identify gaps in training, resources, and public awareness.Methods. A qualitative study was conducted from February to June 2025 in Almaty city. Data were collected through semi-structured telephone interviews, each lasting approximately 20–30 minutes, with intensivists, neurosurgeons, neurologists, rehabilitation physicians, and emergency medical doctors.Results.Intensivists and neurosurgeons are best prepared for stroke care, with structured training, adequate resources, and strong involvement in quality systems. Neurologists show good readiness but face resource gaps. Rehabilitation specialists and emergency medical servicesphysicians are less prepared, with limited training and equipment. Training frequency and learning preferences vary by specialty, with most favoring online formats and peer exchange. Public awareness of stroke symptoms remains low, delaying care. Conclusions.Clear patient pathways exist, but delays in ambulance response, diagnostics, and staffing persist. Post-hospital rehabilitation is evolving, with interest in innovative technologies like robotics and telemedicine to enhance recovery and care efficiency.Care pathways are clear, but delays in ambulance and diagnostics persist. Communication is good, though integration varies. Advancing training, public education, and tech use will boost outcomes and system efficiency.Keywords:stroke, hospitalization, preparedness, training, Kazakhstan.