Kvalitetsregistret Riksstroke visar på ojämlik strokevård. Omedveten diskriminering kanske förklarar en del av skillnaderna
Sammanfattning
In this article, results from a series of studies on the relationships between socioeconomic factors and stroke processes (stroke unit care,
acute reperfusion treatment, secondary prevention with oral anticoagulants and statins) and outcomes (long-term survival, return to work and risk
of suicide and suicide attempts) are summarized. The overall pattern is that acute and secondary prevention interventions and prognosis are
better in patients with a high compared with a low level of education, better in people with high than low income, better in people who are
cohabitant than single. As to country of birth, a more complex pattern has emerged. Unmeasured confounding may possibly explain part of the
difference, but the socioeconomic gradients remain after adjustment for multiple potential confounders, leaving the possibility that there is an
element of unconscious discrimination in stroke care.