Servicio de Neurología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Servicio de Neurología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Neurologia (Engl Ed). 2021 Oct;36(8):597-602. doi: 10.1016/j.nrleng.2020.08.003. Epub 2020 Aug 13.
Headache is a frequent reason for consultation with primary care (PC) physicians. However, the condition is underdiagnosed and undertreated. One reason for this may be the lack of specific training on headache in PC.
We conducted a descriptive cross-sectional study of data gathered with a self-administered survey that was completed by PC physicians from our health district. We collected sociodemographic data and information on previous training in neurology and headache, and training needs.
The survey was completed by 104 PC physicians, 53% of whom were women; mean age was 49 years. Most respondents worked in urban settings (42.3%) and had been trained via residency (77.9%). Although 65.4% spent more time with patients with headache than with other patients, only 32.7% used the International Classification of Headache Disorders. In our sample, 68.3% of respondents reported a high or very high interest in headache, and 75.9% wished to receive further training on the condition; theoretical and practical courses and update lectures were regarded as the most useful tools. In clinical practice, 90% used triptans and 78% used preventive treatments. The most frequently used drug was amitriptyline; only 22.1% choose topiramate.
PC physicians are in frequent contact with patients with headache and show interest in receiving training on this condition. This could be helpful in designing training programmes aimed at improving quality of care in this area.
头痛是基层医疗保健医生（PC）就诊的常见原因。然而，这种情况被诊断不足且治疗不足。造成这种情况的一个原因可能是 PC 缺乏针对头痛的特定培训。
我们对从我们的卫生区收集的自我管理调查数据进行了描述性的横断面研究。我们收集了社会人口统计学数据以及有关神经病学和头痛的先前培训和培训需求的信息。
该调查由 104 名 PC 医生完成，其中 53％为女性；平均年龄为 49 岁。大多数受访者在城市环境中工作（42.3％），并通过住院医师培训（77.9％）接受过培训。尽管 65.4％的人花更多的时间与头痛患者在一起，但只有 32.7％的人使用了国际头痛疾病分类。在我们的样本中，68.3％的受访者表示对头痛非常感兴趣，75.9％希望接受更多有关该疾病的培训；理论和实践课程以及更新讲座被认为是最有用的工具。在临床实践中，90％的人使用曲坦类药物，78％的人使用预防性治疗。最常使用的药物是阿米替林；只有 22.1％选择托吡酯。
PC 医生经常与头痛患者接触，并对接受该疾病的培训感兴趣。这有助于设计旨在改善该领域护理质量的培训计划。
