System-Integrated Technology-Enabled Model of Care aiming to Improve the Health of Stroke Patients in Resource-Poor Settings in China
The specific aims are:
1. To conduct a barriers analysis to understand the opportunities and constraints experienced by stroke patients and their families in accessing essential care and rehabilitation;
2. To assemble and integrate each component of the SINEMA model piloted in previous studies into a holistic model of practical, scalable and seamless essential healthcare delivery for stroke patients;
3. To implement the SINEMA model in a resource-poor rural area in China and evaluate its impact on the primary outcome of systolic blood pressure and a number of secondary outcomes. One additional aim, which is exploratory, is to develop mechanisms to institutionalise and scale up the SINEMA model after the project is completed.
Our proposed study on stroke will provide much-needed practical tools and evidence-based interventions for key stroke-related actors at the community level. In the SINEMA model, technology serves not only as a tool but also facilitates the integration across different tiers of healthcare facilities. Additionally, the SINEMA model can serve as an example of pragmatic task-sharing in healthcare worker and caregiver involvement for the provision of quality standardised care to policymakers at the forefront of reform and practitioners who take care of many patients daily.