Abstract
A questionnaire survey was conducted in 480 cities, wards, towns, and villages throughout Kanto district in January 1991 for purpose of determining the current state of the community-based stroke registry program and to promote the introducton of the services. Responses were returned from 397 districts, of which 394 districts became available for the analysis. Only 11.7% of the local governments have begun the program, and 12.1% local governments have future plans to start the services. The proportion of local governments presently having the services, by prefecture, was 40.0% in Tochigi prefecture, 37.0% in Gunma Prefecture, 5.8% in Ibaraki Prefecture, 3.7% in Saitama Prefecture, and 1.2% in Chiba Prefectue. Local governments in Tokyo Metropolis and Kanagawa Prefecture had not introduced the services. By population size, the proportion of local governments with the services was 20.0% in municipalities with less than ten-thousand population ; 14.0% with ten-thousand or more and less than fifty-thousand, 8.6% with fifty-thousand or more and less than one-hundred thousand, 1. 3% with one-hundred thousand or more.
The larger the population size, the more effective were the services of the stroke registry program as a means of establishing contact with stroke patients. Those local governments which were introducing registry progam use were shown to physicians' reports, death certification, and emergency transportation records more frequently than those local governments which were not.
