In Thailand, 2005, the mortality rate of stroke is 24.3 per 100,000 populations and continuously increases. The prevalence of stroke increased from 216.6 to 307.9 in 2008 to 2010. Diabetes, hypertension and hyperlipidemia are the root cause of stroke andmyocardial infraction. To prevent stroke is to preventcomplication that needs effective stroke fast track policyimplementation. In 2009, NHSO launched stroke fast track policy by support the cost of thrombolytic agent(rt-PA), computed tomographyscan, physical therapy and home visit to reduce mortality rate and disability for universal coverage scheme (UCS). However, civil servant medical benefit scheme (CSMBS) and social security office (SSO) did not have special management for stroke fast track. By the way, the utilization rate of thrombolytic agentis still low. One factor is patients delay tohospital becausetheylack of knowledge and less understandsof early symptoms of stroke.However, stroke fast track is best practices to increase theaccessibility and reduce the severity and disability ofpatients. So, does stroke fast track policy success and improve theaccessibility to care and which factors that influence topolicy implementation. Therefore, it isimportantto study this policy processtodevelop policy implementation. JiraluckNontarak (Naresuan University)*; SirinadNipaporn(Health Insurance System Research Office); SamritSrithamrongsawat (Health Insurance System Research Office); VinaiLeesmidt(KlongKlung Hospital); SupasitPannarunothai (Naresuan University) Background The study aims to analyze the implementation process of stroke fast track in Thailand This study approach use process and prescriptive techniquesto study the policy content and made normative recommendation. In addition, this study is qualitative study by using documentary review, in-depth interview and focus group. The experts who involves in interviews are from stakeholder analysis that are hospital directors, head of stroke unit, head of Emergency medical service (EMS), nurse of Emergency Room. Focus groups are EMS and stroke unit teams. For asking the community and patients use theproposal sampling to collect information about stroke knowledge, public awareness and factors that influence to accessibility. Corresponding Author: JiraluckNontarak (Naresuan University) Email: [email protected] Aims Techniques and Methods