Danish Multiple Sclerosis Center, Department of Neurology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Mult Scler. 2019 Apr;25(5):627-636. doi: 10.1177/1352458518807082. Epub 2018 Oct 23.
Treatment of multiple sclerosis (MS) has become increasingly multifaceted and comprises not only a variety of disease-modifying drugs with different mechanism of action but also a wide range of symptomatic therapies. Today, it is not possible for the family physician or even many general neurologists to master the current treatment algorithm, and this calls for the establishment of multidisciplinary MS Care Units. The core of the MS Care Unit would, in addition to MS neurologists and nurses, typically comprise neuropsychologists, clinical psychologists, physiotherapists, occupational therapists and secretaries, and will work together with a group of different specialists on formalized diagnostic workup procedures, protocols for initiation and follow-up of disease-modifying therapies. It is obvious that the terms of performance of different MS Care Units will vary across regions and need to be balanced with clinical practice according to local conditions. Although the main objective for establishment of MS Care Units will be to offer the single MS patient seamless and correct management of the disease to increase patient satisfaction and quality of life, it may even be cost-effective for the society by maintaining the working ability and reducing the costs of home help and custodial care by keeping people with MS resourceful.
多发性硬化症(MS)的治疗方法变得越来越多样化,不仅包括具有不同作用机制的多种疾病修正药物,还包括广泛的对症治疗方法。如今,家庭医生甚至许多普通神经科医生都不可能掌握当前的治疗方案,因此需要建立多学科多发性硬化症护理单位。MS 护理单位的核心除了多发性硬化症神经科医生和护士外,通常还包括神经心理学家、临床心理学家、物理治疗师、职业治疗师和秘书,他们将与一组不同的专家一起合作,制定规范化的诊断工作程序、疾病修正疗法的启动和随访方案。显然,不同多发性硬化症护理单位的绩效标准将因地区而异,需要根据当地情况与临床实践相平衡。虽然建立多发性硬化症护理单位的主要目标是为单个多发性硬化症患者提供无缝且正确的疾病管理,以提高患者满意度和生活质量,但通过保持多发性硬化症患者的能力并减少家庭帮助和监护护理的成本,甚至可能对社会具有成本效益。