title: [Study on the diagnosis, treatment and requirement of epilepsy patients in urban communities].
abstract: OBJECTIVE
  To investigate the diagnosis,treatment and requirement of epilepsy patients in some urban communities in China, and to provide the evidence of searching for effective treatment and management on epilepsy under the China's context.
  
  
  METHODS
  A face-to-face survey were conducted in 3 urban communities in Shanghai, Beijing and Changsha, respectively. The questions in the questionniare were general information, hospital visit, treatment, the level and way of getting on the knowledge of epilepsy, as well as the current obstacles and needs.
  
  
  RESULTS
  Most of the patients selected the regular hospitals (90.8%) and the departments (92.3%) for their epielspy diagnosis and treatment. They used AEDs modo dictu (77.4%), and had controlled the seizures quite well (82.6%). A small part of patients still could not deeply understand the basic knowledge on epilepsy (13.5%). They ignored to follow up the drug concentration (45.8%) in blood and the blood biocheminstry indicators (43.9%). Some patients went to private clinics (12.9%) and used lay people remedies (7.7%). Longtime waiting (36.8%), inconvenient traffic (23.2%), and high expenses (22.6%) were the main problems influencing the timely treatment. The main obstacles of the patients were employment (47.2%), marriage (29.9%), psychological conditions (44.4%) and interpersonal relationship (29.9%). The main requirements were the effectiveness (87.0%) and cheap AEDs (40.9%) as well as the convenience of hospital visit (37.0%).
  
  
  CONCLUSIONS
  It is very important to emphasize knowledge and publicity/education on epilepsy as well as the psychological treatment according to the requirements of patients.
authors.affiliation: The Institute of Neurology, Fudan University, Shanghai 200040, China.
authors.forename: Ding
authors.initials: D
authors.lastname: Ding
authors.forename: Bin
authors.initials: B
authors.lastname: Jiang
authors.forename: Yun-hai
authors.initials: YH
authors.lastname: Liu
authors.forename: Wen-zhi
authors.initials: WZ
authors.lastname: Wang
authors.forename: Jian-zhong
authors.initials: JZ
authors.lastname: Wu
authors.forename: Qi-dong
authors.initials: QD
authors.lastname: Yang
authors.forename: Li
authors.initials: L
authors.lastname: Zhang
authors.forename: Shi-chuo
authors.initials: SC
authors.lastname: Li
authors.forename: Zhen
authors.initials: Z
authors.lastname: Hong
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D002681:China; D003625:Data Collection; D004827:Epilepsy / Q000175:diagnosis* / Q000628:therapy*; D006301:Health Services Needs and Demand; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D010349:Patient Compliance; D014504:Urban Health
chemical_list: D000927:Anticonvulsants