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Isna Imroah Husna
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Humanities Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Social Sciences

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BARRIERS TO TIMELY STROKE CARE Faris Khairuddin Syah; Putri Ma'rifatul Mardiyah; Isna Imroah Husna; Yanuareza Totti Adyanata; Zahra Roidah Amalia Hasna
Journal of Innovation Research and Knowledge Vol. 5 No. 8 (2026): Januari 2026
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i8.12370

Abstract

Introduction: Timely treatment is essential in acute ischemic stroke, but prehospital delays often prevent patients from receiving thrombolysis within the therapeutic window. Purpose: This study aimed to identify predictors of delay and explore barriers to prompt stroke care. Methods: A convergent mixed-methods approach was used at a teaching and stroke-ready hospital, involving nine ischemic stroke patients who arrived more than 4.5 hours after symptom onset. Structured questionnaires and semi-structured interviews were conducted, with quantitative data analyzed descriptively and qualitative data thematically. Findings from both methods were integrated using a joint display matrix. Results: All patients arrived after the treatment window, with a median time from onset to hospital of 14 hours. Most participants had low education levels and income, with 56% failing to recognize stroke symptoms and only 22% knowing the ambulance number. Thematic analysis identified four main barriers: symptom misinterpretation, limited stroke awareness, family-centered decision-making, and logistical or systemic obstacles. Discussion: Prehospital delay results from a cascade of personal, social, and systemic factors rather than a single cause. Even with universal health coverage, delays persisted, underscoring the urgent need for community education to improve stroke symptom recognition and for systemic reforms to strengthen emergency care pathways.
Co-Authors Faris Khairuddin Syah Putri Ma'rifatul Mardiyah Yanuareza Totti Adyanata Zahra Roidah Amalia Hasna