[What organisation to improve health care management of patients with partial refractory epilepsy?].
Epilepsy is a common and serious neurological condition. It may have severe psychological, cognitive and social consequences. A good organisation of medical care is able to improve the quality of care offered to people with epilepsy. Only the Anglo-Saxon literature has attempted to analyse this problem. Two models of management has been described: epilepsy specialist nurse-based liaison service between primary and secondary/tertiary care and department specialized in epilepsy. These types of service are complementary but it is difficult to determine the best model the currently available results.
Hôpital Henri-Gastaut, Centre Saint-Paul, Marseille, France. nathalie.villeneuve@wanadoo.fr
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Villeneuve
D000927:Anticonvulsants / Q000627:therapeutic use; D019090:Case Management / Q000458:organization & administration*; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy; D004351:Drug Resistance; D004828:Epilepsies, Partial / Q000188:drug therapy / Q000451:nursing / Q000628:therapy*; D006748:Hospital Departments; D006782:Hospitals, Special; D006801:Humans; D033183:Interdisciplinary Communication; D007373:Interinstitutional Relations; D008962:Models, Theoretical; D009462:Neurology; D009720:Nurse Clinicians; D010348:Patient Care Team; D019555:Physician-Nurse Relations; D016032:Randomized Controlled Trials as Topic; D012017:Referral and Consultation
D000927:Anticonvulsants