基层医疗对神经病学及神经病学服务的看法。

Primary care perceptions of neurology and neurology services.

作者信息

Loftus Angela M, Wade Carrie, McCarron Mark O

机构信息

Aberfoyle Medical Practice, Londonderry, UK.

Department of Neurology, Altnagelvin Hospital, Londonderry, UK.

出版信息

Postgrad Med J. 2016 Jun;92(1088):318-21. doi: 10.1136/postgradmedj-2015-133683. Epub 2016 Jan 20.

DOI:10.1136/postgradmedj-2015-133683

PMID:26792634

Abstract

BACKGROUND

Neurophobia (fear of neural sciences) and evaluation of independent sector contracts in neurology have seldom been examined among general practitioners (GPs).

METHODS

A questionnaire determined GPs' perceptions of neurology compared with other medical specialties. GP experiences of neurology services with independent sector companies and the local National Health Service (NHS) were compared. Areas of potential improvement in NHS neurology services were recorded from thematic analyses.

RESULTS

Among 76 GPs neurology was perceived to be as interesting as other medical specialties. GPs reported less knowledge, more difficulty and less confidence in neurology compared with other medical specialties. There was a preference for a local NHS neurology service (p<0.001), which was easier to contact (p<0.001) and provided better follow-up. GPs reported that local neurology services provided better patient satisfaction.

CONCLUSIONS

GPs prefer local NHS neurology services to independent sector contracts. GPs' evaluations should inform commissioning of neurology services. Combating neurophobia should be an integral part of responsive commissioning.

摘要

背景

全科医生（GP）中很少有人研究过神经恐惧症（对神经科学的恐惧）以及对神经病学独立部门合同的评估。

方法

通过问卷调查确定全科医生对神经病学与其他医学专业的看法。比较了全科医生在与独立部门公司及当地国民保健服务体系（NHS）提供的神经病学服务方面的经历。通过主题分析记录了NHS神经病学服务中潜在的改进领域。

结果

在76名全科医生中，他们认为神经病学与其他医学专业一样有趣。与其他医学专业相比，全科医生表示在神经病学方面知识较少、困难更多且信心不足。他们更倾向于当地的NHS神经病学服务（p<0.001），因为其更容易联系（p<0.001）且提供更好的随访。全科医生报告称当地的神经病学服务能带来更高的患者满意度。