[The model of neurological care needs in Valencian community. Commission of the analysis of the quality of SVN].
The model that will based any specialized attention in any healthy area depends the necessity of special and primary cares and the criteria of specialized practitioners on the type of patients what should be treated. We interview following a questionnaire on that question the neurologists of Valencian Community in order to know their opinion. The questionnaire includes 47 neurological topics and we ask the percentage of patients who should be evaluated as first visit and as follow-up visits. We used the formula proposed by Kurtzke in 1986 in order to calculate the neurological time. The response rate obtained was 30%. The whole neurological time was 4,600 hours per 100,000 inhabitants yearly, that means 6.9 neurologists-type per 100,000 inhabitants. These data suggest that Valencian neurologists agree a model of direct neurological care, including diagnosis and follow-up of all neurological topics. These data are similar to that obtained in interviews to primary physicians in different healthy areas in the Community and confirms the evolution of neurological care to a model similar to that in the United States. The topic that require more than 100 hours by year are: migraine (1,731) lumbar backache (685), stroke (306), seizures (248), Down's syndrome (175.5), alcoholism (150), zoster (122), severe cranial trauma (105) and dementia (103).
Martín
R
R
Secretaria de la Sociedad Valenciana de Neurologia, Valencia.
D000328:Adult; D003153:Community Health Services / Q000458:organization & administration* / Q000592:standards*; D005260:Female; D006285:Health Planning; D006801:Humans; D008297:Male; D009462:Neurology / Q000193:education* / Q000458:organization & administration*; D013030:Spain; D000078329:Workforce
El modelo de asistencia neurológica en la Comunidad Valenciana. Comisión de 'Análisis de la Calidad' de la SVN.