Structured headache services as the solution to the ill-health burden of headache: 1. Rationale and description

被引:0
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作者
Timothy J. Steiner
Rigmor Jensen
Zaza Katsarava
Lars Jacob Stovner
Derya Uluduz
Latifa Adarmouch
Mohammed Al Jumah
Ali M. Al Khathaami
Messoud Ashina
Mark Braschinsky
Susan Broner
Jon H. Eliasson
Raquel Gil-Gouveia
Juan B. Gómez-Galván
Larus S. Gudmundsson
Akbar A. Herekar
Nfwama Kawatu
Najib Kissani
Girish Baburao Kulkarni
Elena R. Lebedeva
Matilde Leonardi
Mattias Linde
Otgonbayar Luvsannorov
Youssoufa Maiga
Ivan Milanov
Dimos D. Mitsikostas
Teymur Musayev
Jes Olesen
Vera Osipova
Koen Paemeleire
Mario F. P. Peres
Guiovanna Quispe
Girish N. Rao
Ajay Risal
Elena Ruiz de la Torre
Deanna Saylor
Mansoureh Togha
Sheng-Yuan Yu
Mehila Zebenigus
Yared Zenebe Zewde
Jasna Zidverc-Trajković
Michela Tinelli
机构
[1] NTNU Norwegian University of Science and Technology,Department of Neuromedicine and Movement Science
[2] Imperial College London,Division of Brain Sciences
[3] University of Copenhagen,Danish Headache Centre, Department of Neurology
[4] Evangelical Hospital Unna,Department of Neurology
[5] University of Duisburg-Essen,Norwegian Advisory Unit on Headache, Department of Neurology and Clinical Neurophysiology
[6] EVEX Medical Corporation,Neurology Department, Cerrahpaşa School of Medicine
[7] IM Sechenov First Moscow State Medical University (Sechenov University),Community Medicine and Public Health Department
[8] St Olavs University Hospital,Department of Neurosciences
[9] Istanbul University,Headache Clinic, Neurology Clinic
[10] Cadi Ayyad University School of Medicine,Weill Cornell Medicine Headache Program, Department of Neurology
[11] King Fahad Medical City,Department of Neurology
[12] MOH,Headache Centre, Neurology Department
[13] King Saud Bin Abdulaziz University for Health Sciences,Faculty of Pharmaceutical Sciences, School of Health Sciences
[14] King Abdulaziz Medical City,Department of Anesthesiology, Medical College of Georgia
[15] Tartu University Hospital,Department of Paediatrics
[16] Weill Cornell Medical College,Laboratory of Clinical and Experimental Neuroscience, Faculty of Medicine
[17] Centralsjukhuset,Department of Neurology
[18] Hospital da Luz,Department of Neurology
[19] Hospital de Sant Joan Despí Moisès Broggi,Department of Neurology and Neurosurgery
[20] University of Iceland,Neurology, Public Health, Disability Unit
[21] Augusta University,Department of Neurology
[22] University Teaching Hospital,Faculty of Medicine
[23] Université Cadi Ayyad Marrakech,Department of Neurology
[24] University Teaching Hospital Mohammed VI,1st Neurology Department, Aeginition Hospital, Medical School
[25] National Institute of Mental Health and Neurosciences (NIMHANS),Chief of Department of Health Organization
[26] The Ural State Medical University,Department of Neurology
[27] International Headache Centre “Europe-Asia”,Institute of Psychiatry, University of São Paulo
[28] Fondazione IRCCS Istituto Neurologico Carlo Besta,Department of Neurology
[29] Tjörn Headache Clinic,Department of Epidemiology
[30] Mongolian National University of Medical Sciences,Department of Psychiatry
[31] University of Technical Sciences and Technologies,Dhulikhel Hospital
[32] University Hospital of Neurology and Psychiatry “St Naum”,Department of Neurology
[33] Medical University Sofia,Department of Internal Medicine
[34] National and Kapodistrian University of Athens,Neurology Ward, Sina Hospital, School of Medicine
[35] Ministry of Health,Headache Department, Iranian Center of Neurological Researches, Institute of Neuroscience
[36] Moscow Research Clinical Centre for Neuropsychiatry,International Headache Centre, Department of Neurology
[37] University Headache Clinic,Department of Neurology, School of Medicine, College of Health Sciences
[38] Ghent University Hospital,Neurology Clinic
[39] Hospital Albert Einstein,Care Policy and Evaluation Centre
[40] Hospital Luis Negreiros Vega,undefined
[41] National Institute of Mental Health and Neurosciences (NIMHANS),undefined
[42] Kathmandu University School of Medical Sciences (KUSMS),undefined
[43] Kathmandu University Hospital,undefined
[44] European Migraine and Headache Alliance,undefined
[45] Johns Hopkins University School of Medicine,undefined
[46] University Teaching Hospital,undefined
[47] Tehran University of Medical Sciences,undefined
[48] Tehran University of Medical Sciences,undefined
[49] Chinese PLA General Hospital,undefined
[50] Addis Ababa University,undefined
来源
The Journal of Headache and Pain | 2021年 / 22卷
关键词
Headache disorders; Public health; Health policy; Barriers to care; Needs assessment; Health-technology assessment; Structured headache services; Service organization and delivery; Primary care; Global Campaign against Headache;
D O I
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摘要
In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles.
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