Table 6:

Pragmatic recommendations to improve acute stroke care by 2030

	Goals	Targets	Recommendations	Measures of progress
Some countries do not have acute stroke care services	To establish acute stroke services in all countries	To ensure the availability of acute stroke services in all countries by 2030, so that acute stroke care is accessible to all patients worldwide	All countries without acute stroke services should initiate a government programme to establish services and train personnel to deliver interdisciplinary care to patients with stroke in pre-hospital and hospital settings Funding programmes should be developed to facilitate access to acute stroke services in low-income and middle-income countries (government or public–private partnerships) Telemedicine approaches should be used to facilitate access to stroke specialists	The number of countries without acute stroke services in 2022 that have established services by 2030
Some countries do not have sufficient acute stroke care services (in terms of both number and quality)	To increase the number and quality of hospitals with acute stroke care	To increase the number of acute stroke centres, so that every patient with stroke has access to services by 2030 (at least 50 beds per 1 million inhabitants, with a multidisciplinary approach and implementation of evidence-based treatments: thrombolysis as a first step and thrombectomy in advanced centres as the next step) To create more advanced stroke centres providing all necessary treatment options, including thrombectomy, with at least one centre per 2 million inhabitants	Countries with acute stroke hospitals should improve the quality of services provided according to evidence-based guidelines Training programmes should be enhanced to increase the number of personnel available to offer multidisciplinary care Telemedicine can be used to increase access to stroke specialists Certification programmes can be used to improve and maintain the quality of services	The number of new acute stroke services established between 2022 and 2030 in each country National or international quality-indicator registries in hospitals to monitor and improve quality Number of certified stroke services in each country