Martín R, Puigserver M T, Delgado J M, Valiente E, Matías-Guiu J
Sección de Neurología, Hospital Universitario de San Juan, Alicante.
Rev Neurol. 1995 Jul-Aug;23(122):860-5.
Specific health care planning should be based on the care request according the most adjusted evaluations method. Data obtained from each geographic area may be most comparable with other from close areas.
To determinate the neurological needs in the health area 16 of Valencian Community that includes the care corresponding to Hospital of San Juan de Alicante.
We conducted a survey among key informants using the primary care physicians of the area. The population of the healthy area is 144,781 people and includes 78 primary care physicians. We used the formula proposed by Kurtzke in 1982 in order to calculate the neurological time.
We obtain a response rate of 82% the total number of neurological hours requested was 5,823.84 hours by year, which supposes a need of 8.82 neurologists by 100,000 people and nears a needs of 12.77 neurologists for the healthy area. These data are clearly higher that the obtained in other close areas using the same methodology (5 neurologists by 100,000 inh in Alcoi, 6 neurologists by 100,000 inh in the area corresponding to General Hospital of Alicante). The topics that require more than 100 hours by year are: migraine (1,205), lumbar backache (1,104), alcoholism (762), cranial trauma (442), deafness (285), stroke (272), seizures (181), disk herniation (166), cervical backache (140), zoster (162), psychosis (118), which supposes 83.12% of the whole neurological time.
The data situated the area within a model of direct neurological care similar to that in the United States.
特定的医疗保健规划应根据最适宜的评估方法，基于护理需求制定。从每个地理区域获得的数据可能与邻近区域的数据最具可比性。
确定巴伦西亚自治区第16健康区域的神经科医疗需求，该区域包括圣胡安·德阿利坎特医院提供的护理服务。
我们对该地区的关键信息提供者（即该地区的初级保健医生）进行了一项调查。该健康区域的人口为144,781人，包括78名初级保健医生。我们使用了库尔茨克在1982年提出的公式来计算神经科医疗时间。
我们获得了82%的回复率。每年所需的神经科医疗总时长为5,823.84小时，这意味着每10万人需要8.82名神经科医生，接近该健康区域每10万人需要12.77名神经科医生的需求。这些数据明显高于使用相同方法在其他邻近区域获得的数据（阿尔科伊每10万居民有5名神经科医生，阿利坎特综合医院对应区域每10万居民有6名神经科医生）。每年需求超过100小时的病症有：偏头痛（1,205小时）、腰背痛（1,104小时）、酗酒（762小时）、颅脑外伤（442小时）、耳聋（285小时）、中风（272小时）、癫痫发作（181小时）、椎间盘突出（166小时）、颈背痛（140小时）、带状疱疹（162小时）、精神病（118小时），这些病症占神经科医疗总时长的83.12%。
这些数据表明该区域处于与美国类似的直接神经科护理模式中。
