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Volume 8: No. 4, July 2011

ORIGINAL RESEARCH
Geographic and Sociodemographic Disparities in Drive Times to Joint Commission–Certified Primary Stroke Centers in North Carolina, South Carolina, and Georgia

This map shows that most JCPSCs in North Carolina, South Carolina, and Georgia are located in and near urban areas. The 30- and 60-minute drive-time areas to a JCPSC cover most of the urban areas. The rural coastal plains have very few JCPSCs.

Figure 1. Specified drive times to a Joint Commission–Certified Primary Stroke Center (JCPSC), North Carolina, South Carolina, and Georgia.

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This map shows that stroke death rates varied geographically in North Carolina, South Carolina, and Georgia. Counties in the top quartile (78-136 stroke deaths/100,000) were located primarily in the rural coastal plains, and counties in the lowest quartile (<58 stroke deaths/100,000) were found predominantly in the piedmont and mountain areas. Figure 2 demonstrates that many of the counties with the highest stroke death rates are outside the 30-minute drive-time areas to a JCPSC.

Figure 2. Age-adjusted stroke death rates by county and 30-minute drive-time areas to a Joint Commission–Certified Primary Stroke Center (JCPSC), North Carolina, South Carolina, and Georgia.

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This map shows that 28 hospitals that participate in the PCNASR or the GWTG–Stroke program that are not JCPSCs were located in or near the areas of high stroke death rates and outside of the 30-minute drive-time areas to a JCPSC hospital.

Figure 3.  Age-adjusted stroke death rates by county, 30-minute drive-time areas to a Joint Commission–Certified Primary Stroke Center (JCPSC), and location of hospitals that participate in the Paul Coverdell National Acute Stroke Registry (PCNASR) or the Get With the Guidelines–Stroke (GWTG–Stroke) program, North Carolina, South Carolina, and Georgia.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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