Finkelstein Sara A, Carson Alan, Edwards Mark J, Kozlowska Kasia, Lidstone Sarah C, Perez David L, Polich Ginger, Stone Jon, Aybek Selma
Department of Neurology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, USA.
Department of Clinical Neurosciences, Centre for Clinical Brain Sciences, University of Edinburgh, Royal Infirmary of Edinburgh, 50 Little France Cres, Edinburgh EH16 4SA, UK.
Neurol Clin. 2023 Nov;41(4):729-743. doi: 10.1016/j.ncl.2023.04.002. Epub 2023 Jul 18.
Functional neurologic disorder (FND) is commonly encountered across outpatient and inpatient medical settings. Given the potential for a high burden of disability in some patients and mounting evidence for the efficacy of FND-specific multidisciplinary treatment services, expanding clinical services for this population is a necessity. In this perspective article, we discuss considerations for creating FND services, including the types of services that exist, how to start, how to identify appropriate referrals, and how to develop and monitor individualized treatment plans. In addition, we discuss how this effort can be done sustainably - balancing patient needs with limited healthcare resources.
功能性神经障碍（FND）在门诊和住院医疗环境中都很常见。鉴于一些患者可能存在高残疾负担，且越来越多的证据表明针对FND的多学科治疗服务有效，因此有必要为这一人群扩大临床服务。在这篇观点文章中，我们讨论了创建FND服务的注意事项，包括现有服务类型、如何启动、如何识别合适的转诊患者，以及如何制定和监测个性化治疗计划。此外，我们还讨论了如何在有限的医疗资源下平衡患者需求，以可持续的方式开展这项工作。
