Kõrv et al. 39 Discussion Our results show that long-lasting efforts in stroke care quality improvement on a national level have led to equally good level of stroke care in stroke-ready hospitals in Estonia. Despite this, further contribution and collaboration of all stakeholders to continuous monitoring and measuring quality of care aiming at reduction of the implementation gap between evidence-based standards of care and current clinical practice cannot be overestimated. It is vital that all parties, hospitals, governmental authorities, and nongovernmental organizations participate actively in this process. Acute stroke care Figure 2. Proportion of patients with ischemic stroke receiving recanalization therapies in stroke-ready hospitals in Estonia from 2017 to 2021 according to the Registry of Stroke Care Quality data. During the last 15 years the availability of revascularization therapies for ischemic stroke has increased and according to the current analysis as much as 33% from all hospitalized ischemic strokes in Estonia receiving the treatment. This is confirmed also by a recent survey from European countries were the rate of IVT per million population in Estonia was the highest in Europe.3 The aim is to treat at least 90% of patients in stroke units/ centers. According to the quality indicators of stroke care and data from RES-Q, this target is quite close. It has been Figure 3. Median door-to-needle (DNT) and door-to-groin (DGT) times (in min) in stroke-ready hospitals in Estonia from 2017 to 2021 according to the Registry of Stroke Care Quality data.