Log in with your email address username.


Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

Stroke care in Australia: why is it still the poor cousin of health care?

Stroke prevention and management have changed, but most patients are not benefiting from these changes

The National Stroke Foundation’s recent rehabilitation services audit report confirms that only a small proportion of Australians receive evidence-based care.1 The gap between best evidence-based and actual care in many areas of stroke is staggering.

For example, only 44% of patients transferred to rehabilitation had been in a stroke unit. This mirrors the acute care services audit finding that many patients do not receive dedicated stroke unit care,2 despite overwhelming evidence of effectiveness.3 Only 7% of ischaemic stroke patients received thrombolysis treatment,2 yet for every 100 patients who receive it, there are up to 10 extra independent survivors.4 About 20% of stroke patients are discharged from hospital without medication (to lower cholesterol and blood pressure) to prevent recurrent stroke;2 however, for every 100 people treated with blood-pressure-lowering medication, three people are saved from death and/or…