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Updated: Jul 27, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
06:01

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia

Published on: August 18, 2015

Acute ischemic stroke and transient ischemic attack: A costly business and a strategy to reduce costs (the

P B Gorelick1

  • 1Section of Cerebrovascular Disease and Neuroepidemiology, Department of Neurological Science, Rush Medical Center, Chicago, IL, U.S.A.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|October 22, 2015
PubMed

Insights

Acute stroke care faces cost pressures. The "Time-Zero" proposal offers a balanced approach, integrating high-quality diagnostics and treatment with essential cost containment for better patient, physician, and insurer satisfaction.

Area of Science:

  • Neurology
  • Health Economics
  • Healthcare Management

Background:

  • Acute stroke care is a significant financial burden in the US healthcare system.
  • Sophisticated diagnostic technologies for stroke present challenges in balancing cost and quality.
  • Conflicting expectations exist between patients desiring comprehensive testing and physicians aiming for efficient, cost-effective care.

Purpose of the Study:

  • To propose the "Time-Zero" initiative for optimizing acute stroke care.
  • To reconcile the need for high-quality patient care with stringent cost-containment measures.
  • To identify common ground for patients, physicians, and insurers in stroke diagnostics and treatment.

Main Methods:

  • The study outlines a strategic proposal, the "Time-Zero" plan, for managing stroke care.
  • It emphasizes the need for behavioral modification among physicians and diagnostic providers.
  • It calls for insurer flexibility in maintaining quality standards for rapid diagnosis and treatment.

Main Results:

  • The "Time-Zero" proposal aims to achieve both high-quality stroke care and cost containment.
  • It advocates for a flexible approach to diagnostic service availability.
  • It suggests that a rational plan can reduce dissatisfaction among all stakeholders.

Conclusions:

  • A collaborative approach is essential to address the economic challenges in acute stroke care.
  • Balancing diagnostic thoroughness with cost-effectiveness is achievable.
  • The proposed "Time-Zero" plan offers a framework for improved patient outcomes and system efficiency.

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