University Hospital Essen, Germany.
Cephalalgia. 2011 Jul;31(9):1039-47. doi: 10.1177/0333102411409075. Epub 2011 Jun 2.
Patients with chronic or difficult to treat headaches are generally under the care of general practictioners or neurologists in private practice. Some are referred to a headache specialist for evaluation and advice. Treatment is often provided by the referring physician. An alternative is a multidisciplinary headache centre, where care is provided by different disciplines (neurology, behavioural psychology, psychiatry, psychosomatic medicine, physical therapy, sport therapy) across sectors of the healthcare system involving out- and inpatient care and treatment. This is called integrated headache care. This review summarizes experiences in integrated headache care settings in Europe and the USA, describes these settings, and reports outcome data.
患有慢性或难治性头痛的患者通常由私人执业的全科医生或神经科医生负责治疗。有些患者则被转介给头痛专家进行评估和建议。治疗通常由转介医生提供。另一种选择是多学科头痛中心，由不同学科（神经病学、行为心理学、精神病学、身心医学、物理治疗、运动治疗）提供医疗服务，涉及医疗系统的门诊和住院服务及治疗。这被称为综合性头痛治疗。本文综述了欧洲和美国综合性头痛治疗环境的经验，描述了这些环境，并报告了结果数据。
