[What organisation to improve health care management of patients with partial refractory epilepsy?].
Management of refractory epilepsy requires a comprehensive approach with cooperation between primary care physicians, neurologists or neuropaediatricians and specialist epilepsy centres. A regional or interregional network organisation may provide improved access to care provision including inpatient facilities for emergencies, early referral to an epilepsy specialist centre. Such organisation should be appropriate to quality standards for neurophysiology and neuroimaging assessment, epilepsy surgery programme and psychological and social counselling services.
Service d'Explorations Neurologiques et d'Epileptologie, Hôpital Gui-de-Chauliac, CHU, 34295 Montpellier Cedex 5, France. m-baldy_moulinier@chu-montpellier.fr
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Baldy-Moulinier
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Gelisse
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Crespel
D000293:Adolescent; D000328:Adult; D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D019090:Case Management / Q000458:organization & administration*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003625:Data Collection; D004351:Drug Resistance; D004828:Epilepsies, Partial / Q000188:drug therapy / Q000628:therapy*; D006282:Health Personnel / Q000523:psychology; D006782:Hospitals, Special; D006801:Humans; D007223:Infant; D007326:Institutionalization; D033183:Interdisciplinary Communication; D007373:Interinstitutional Relations; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010348:Patient Care Team; D017060:Patient Satisfaction; D012017:Referral and Consultation
D000927:Anticonvulsants