title: The health care journeys experienced by people with epilepsy in Ireland: what are the implications for future service reform and development?
abstract: Opportunities exist to significantly improve the quality and efficiency of epilepsy care in Ireland. Historically, epilepsy research has focused on quantitative methodologies that often fail to capture the invaluable insight of patient experiences as they negotiate their health care needs. Using a phenomenological approach, we conducted one-to-one interviews with people with epilepsy, reporting on their understanding of their health care journey from onset of symptoms through to their first interaction with specialist epilepsy services. Following analysis of the data, five major themes emerged: delayed access to specialist epilepsy review; uncertainty regarding the competency and function of primary care services; significant unmet needs for female patients with epilepsy; disorganization of existing epilepsy services; and unmet patient information needs. The findings reveal important insights into the challenges experienced by people with epilepsy in Ireland and identify the opportunities for future service reorganization to improve the quality and efficiency of care provided.
authors.affiliation: Epilepsy Research Department, Beaumont Hospital, Dublin, Ireland. trimvarleys@gmail.com
authors.forename: J
authors.initials: J
authors.lastname: Varley
authors.forename: N
authors.initials: N
authors.lastname: Delanty
authors.forename: C
authors.initials: C
authors.lastname: Normand
authors.forename: M
authors.initials: M
authors.lastname: Fitzsimons
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care / Q000379:methods*; D004827:Epilepsy / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007407:Interviews as Topic; D007494:Ireland / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult