title: [Present and future of neurology in Spain].
abstract: This is a document prepared by the Spanish Society of Neurology (SEN), which was given to the President of Spain (Mr. José María Aznar) last September with the main aim of examining the current situation of Neurology in our country. It analyses the present and future of Neurology in clinical assistance, teaching and research. To prepare this document the criteria of patients' associations has been considered, including the Declaration of Madrid which has been subscribed by thirty of these associations. In spite of its relevant development in the previous decades, the current situation of Neurology in Spain is far from the ideal. To reach the recommendable menber of 3 or 4 neurologists per 100,000 inhabitants it is necessary to duplicate the present number of neurologists which has been estimated around 2/100,000; this situation is especially urgent in some Autonomous Communities. The most important problems in neurological assistance are: inadequate follow-up of the chronic outpatients, low numbers of neurological beds and of duties of Neurology, as well as of neurological case of patients with urgent neurological disorders. It is also necessary to increase the number of professors of Neurology to adequately cover pregraduate teaching; again there are important differences in teaching positions among Autonomous Communities. Neurology residence should be prolonged from 4 to 5 years. Finally, it is necessary to support the appearance of superespecialised units and to promote a coordinated research with other close specialities including basic neuroscience.
authors.affiliation: Presidenta, Junta Directiva de la Sociedad Española de Neurología (SEN), Barcelona, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Illa Sendra
authors.forename: J
authors.initials: J
authors.lastname: García De Yébenes Prous
authors.forename: C
authors.initials: C
authors.lastname: Ramo Tello
authors.forename: J M
authors.initials: JM
authors.lastname: Polo Esteban
authors.forename: J L
authors.initials: JL
authors.lastname: Molinuevo Guix
authors.forename: A
authors.initials: A
authors.lastname: Robles Bayón
authors.forename: F
authors.initials: F
authors.lastname: Mulas Delgado
authors.forename: J
authors.initials: J
authors.lastname: Alvarez Sabín
authors.forename: M
authors.initials: M
authors.lastname: Aguilar Barbera
authors.forename: J A
authors.initials: JA
authors.lastname: Berciano Blanco JA
authors.forename: R
authors.initials: R
authors.lastname: Blesa González
authors.forename: C
authors.initials: C
authors.lastname: Carnero Pardo
authors.forename: J
authors.initials: J
authors.lastname: Castillo Sánchez
authors.forename: T
authors.initials: T
authors.lastname: Del Ser Quijano
authors.forename: I
authors.initials: I
authors.lastname: Ferrer Abizanda
authors.forename: E
authors.initials: E
authors.lastname: García-Albea Ristol
authors.forename: T
authors.initials: T
authors.lastname: Gómez Isla
authors.forename: F
authors.initials: F
authors.lastname: Graus Ribas
authors.forename: M D
authors.initials: MD
authors.lastname: Jiménez Hernández
authors.forename: H
authors.initials: H
authors.lastname: Liaño Martínez
authors.forename: J
authors.initials: J
authors.lastname: Matías Guiu-Guia
authors.forename: J J
authors.initials: JJ
authors.lastname: Zarranz Imirizaldu
authors.forename: C
authors.initials: C
authors.lastname: Paradas López
authors.forename: G
authors.initials: G
authors.lastname: Elena Martínez
authors.forename: G
authors.initials: G
authors.lastname: Maltas Pérez
authors.forename: M T
authors.initials: MT
authors.lastname: Ponce Rodríguez
mesh_terms: D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000523:psychology; D009462:Neurology / Q000193:education / Q000639:trends; D012017:Referral and Consultation; D012106:Research; D012955:Societies, Medical; D013030:Spain; D000078329:Workforce