期刊论文详细信息
BMC Research Notes
Awareness of headache and of national headache society activities among primary care physicians – a qualitative study
Peter S Sándor3  Ethan Taub5  Mark J Emmenegger8  Gabriele S Merki-Feld1  Claudio Gobbi2  Mathias Sturzenegger7  Christian Jäggi6  Andreas R Gantenbein4 
[1] University Women’s Hospital Zurich, Zurich, Switzerland;Neurocenter of Southern Switzerland, Lugano, Switzerland;Neurorehabilitation, RehaClinic, Baden, Switzerland;Headache and Pain Unit, Department of Neurology, University Hospital Zurich, Zurich, Switzerland;Department of Neurosurgery, University Hospital Basel, Basel, Switzerland;IMK Institute for Medicine and Communication, Basel, Switzerland;University Hospital Inselspital, Bern, Switzerland;Neurological Practice, Agno, Switzerland
关键词: Migraine;    National society;    Awareness;    MRI;    Primary care;    Headache;   
Others  :  1143086
DOI  :  10.1186/1756-0500-6-118
 received in 2012-10-27, accepted in 2013-03-20,  发布年份 2013
PDF
【 摘 要 】

Background

Headache is one of the most common symptoms in primary care. To improve the quality of headache diagnosis and management with the largest possible benefit for the general population, headache and pain societies around the world have recently been devoting more attention to headache in primary care.

The aim of the study was to investigate the potential contribution that national societies can make toward raising the awareness of primary headaches in general practice.

Findings

In a qualitative telephone survey, targeting primary care practices (PCP), we asked about the frequency of headache patients in their practices and inquired about their treatment and referral strategies.

A total of 1000 telephone interviews with PCP have been conducted. Three-hundred and fifty physicians have been directly interviewed, 95% of them see headache patients every week, 23% daily. Direct MRI referral is done by 84%. Sixty-two per cent of the physicians knew the Swiss headache society, 73% were interested in further education about headaches.

Conclusion

The survey yielded information about the physicians’ awareness of the Swiss Headache Society and its activities, and about their desire for continuing education in the area of headache. National headache societies should work to improve the cooperation between headache specialists and PCP, aiming for a better care for our patients with headache.

【 授权许可】

   
2013 Gantenbein et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150328234507275.pdf 376KB PDF download
Figure 1. 87KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Bigal ME, Bordini CA, Speciali JG: Etiology and distribution of headaches in two Brazilian primary care units. Headache 2000, 40(3):241-247.
  • [2]Latinovic R, Gulliford M, Ridsdale L: Headache and migraine in primary care: consultation, prescription, and referral rates in a large population. J Neurol Neurosurg Psychiatry 2006, 77(3):385-387.
  • [3]Kernick D, Stapley S, Hamilton W: GPs’ classification of headache: is primary headache underdiagnosed? Br J Gen Pract 2008, 58(547):102-104.
  • [4]MacGregor EA, Brandes J, Eikermann A: Migraine prevalence and treatment patterns: the global Migraine and Zolmitriptan Evaluation survey. Headache 2003, 43(1):19-26.
  • [5]Kernick D: Reducing the burden of headache: The International Headache Society Primary Care Interest Group. Cephalalgia 2010, 30(8):899-901.
  • [6]Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR: Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999, 282(15):1458-1465.
  • [7]Lesho EP, Myers CP, Ott M, Winslow C, Brown JE: Do clinical practice guidelines improve processes or outcomes in primary care? Mil Med 2005, 170(3):243-246.
  • [8]Swiss Medical Association Physicians statistics. 2010. [http://www.fmh.ch/files/pdf5/2._Berufsttige_rzte_nach_Hauptfachgebiet_2010_d1.pdf webcite]
  • [9]Kozak S, Gantenbein AR, Isler H, Merikangas KR, Angst J, Gamma A, Agosti R: Nosology and treatment of primary headache in a Swiss headache clinic. J Headache Pain 2005, 6(3):121-127.
  • [10]Gantenbein AR, Kozak S, Agosti F, Agosti R, Isler H: Headache patients in primary care and a tertiary care unit in Zurich, Switzerland. Cephalalgia 2006, 26(12):1451-1457.
  • [11]Taylor TR, Evangelou N, Porter H, Lenthall R: Primary care direct access MRI for the investigation of chronic headache. Clin Radiol 2012, 67(1):24-27.
  • [12]Imai N, Yagi N, Konishi T, Serizawa M, Kobari M: Websites offer helpful information concerning consultation with headache specialists. Cephalalgia 2010, 30(4):496-499.
  文献评价指标  
  下载次数:15次 浏览次数:29次