The Yekaterinburg headache initiative: an interventional project, within the Global Campaign against Headache, to reduce the burden of headache in Russia

The Journal of Headache and Pain

Methodology

Guzyal R Tabeeva¹  Vera V Osipova¹  Jes Olesen²  Elena R Lebedeva³  Larisa I Volkova³  Timothy J Steiner⁴ 

[1] Department of Neurology, First Sechenov Moscow State Medical University, Moscow, Russian Federation;Department of Neurology, University of Copenhagen, Copenhagen, Denmark;Department of Neurology, Urals State Medical University, Yekaterinburg, Russian Federation;Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway;

关键词: Action research;    Burden of headache;    Health care;    Service delivery and organization;    Russia;    Global campaign against headache;   

DOI  :  10.1186/1129-2377-14-101

 received in 2013-10-14, accepted in 2013-12-11,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundAs major causes of global public ill-health and disability, headache disorders are paradoxically ignored in health policy and in planning, resourcing and implementing health services. This is true worldwide. Russia, where the prevalence of headache disorders and levels of attributed disability are well in excess of the global and European averages, is no exception, while arcane diagnoses and treatment preferences are an aggravating factor. Urgent remedial action, with political support, is called for.MethodsYekaterinburg, in Sverdlovsk Oblast, is the chosen centre for a demonstrational interventional project in Russia, undertaken within the Global Campaign against Headache. The initiative proposes three actions: 1) raise awareness of need for improvement; 2) design and implement a three-tier model (from primary care to a single highly specialized centre with academic affiliation) for efficient and equitable delivery of headache-related health care; 3) develop a range of educational initiatives aimed at primary-care physicians, non-specialist neurologists, pharmacists and the general public to support the second action.Results and conclusionWe set these proposals in a context of a health-care needs assessment, and as a model for all Russia. We present and discuss early progress of the initiative, justify the investment of resources required for implementation and call for the political support that full implementation requires. The more that the Yekaterinburg headache initiative can achieve, the more likely it is that this support will be forthcoming.

【 授权许可】

Unknown   
© Lebedeva et al.; licensee Springer. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.