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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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