Marquez Loza, Alejandra M.2019-12-042019-052019-07-252019Marquez Loza, Alejandra M. 2019. Disparities in Stroke Care: A Framework for an Integrated Care Model. Doctoral dissertation, Harvard Medical School.http://nrs.harvard.edu/urn-3:HUL.InstRepos:41971474Purpose Racial and ethnic disparities exist in access and utilization of acute and chronic neurological care. The impact of this is notable in stroke care, with African-Americans and Hispanics having a greater incidence of stroke, higher rates of recurrent strokes, and the greatest disparities in stroke mortality among younger working-age populations compared to Caucasians. While there are many innovative solutions to certain aspects of disparities in stroke care, our current health care delivery system lacks a cohesive design that can integrate these. This paper provides a framework for the implementation of a value-based integrated care model with the intent of improving outcomes and achieving equity in neurological care. Methods Successful value-based healthcare delivery models were analyzed in light of their potential in bridging disparities in care as a whole and specifically for stroke care. The literature on racial and ethnic disparities in stroke care was reviewed and a framework for possible value-based solutions to these disparities was proposed. Conclusion While there is increasing recognition of the benefits in value-based health care, broader implications may extend to bridging disparity gaps. This paper highlights key considerations for neurology leaders and healthcare planners in the implementation of a stroke integrated practice unit designed out of consideration for the diverse patient populations they serve.application/pdfenDisparitiesintegrated practice unitstrokeThesis or Dissertation2019-12-040000-0002-1896-177X