Introduction
Significant efforts have been made to improve acute stroke care and rehabilitation, leading to a growing number of stroke survivors requiring optimal secondary prevention.1 Despite well-established guidelines, studies continue to report suboptimal risk factor control and low adherence to secondary preventive medications, which increase the risk of recurrent stroke and other cardiovascular events.2–7
Several factors may contribute to poor adherence and inadequate risk factor management, including patient-related barriers (eg, socioeconomic status, disability, cognitive decline), physician-related factors (eg, complex drug regimens, time constraints), and health care system factors (eg, follow-up routines in primary care, coordination between hospital and primary care).8 While secondary prevention…