Neurosciences Institute, Intermountain Medical Center, Murray, UT, USA.
Epilepsy Behav. 2013 Nov;29(2):412-5. doi: 10.1016/j.yebeh.2013.08.034. Epub 2013 Oct 3.
In India, there are less than 2000 neurologists, and an estimated 5 million patients have epilepsy. With such limited neurological care available, novel treatment approaches for epilepsy are necessary. This study evaluates the effectiveness of a mobile clinic in treating epilepsy. Patients from two mobile clinic stop locations in northern India were contacted 7 and 9 months later for an in-person or over-the-phone survey. Of the 306 eligible patients who had been seen in the selected cities, 142 were interviewed, 72.5% of whom reported that they were still taking medications; among medication-naïve patients, 50.9% were still taking medications. The one-time clinic is effective and could be a model for working towards reducing the wide rural epilepsy treatment gap in India and other countries. Creative follow-up mechanisms need to be developed.
在印度，神经科医生不足 2000 人，而估计有 500 万癫痫患者。由于神经科护理资源如此有限，因此有必要探索治疗癫痫的新方法。本研究评估了移动诊所治疗癫痫的效果。联系了印度北部两个移动诊所停留地点的 7 个月和 9 个月后的患者进行面对面或电话调查。在已被选中的城市中，有 306 名符合条件的患者，其中 142 名接受了采访，72.5%的患者报告仍在服用药物；在未服用药物的患者中，50.9%的患者仍在服用药物。一次性诊所是有效的，可以作为一种模式，努力缩小印度和其他国家广泛存在的农村地区癫痫治疗差距。需要开发有创意的后续机制。
