Martín R
Secretaria de la Sociedad Valenciana de Neurologia, Valencia.
Rev Neurol. 1995 Sep-Oct;23(123):1106-10.
The model that will based any specialized attention in any healthy area depends the necessity of special and primary cares and the criteria of specialized practitioners on the type of patients what should be treated. We interview following a questionnaire on that question the neurologists of Valencian Community in order to know their opinion. The questionnaire includes 47 neurological topics and we ask the percentage of patients who should be evaluated as first visit and as follow-up visits. We used the formula proposed by Kurtzke in 1986 in order to calculate the neurological time. The response rate obtained was 30%. The whole neurological time was 4,600 hours per 100,000 inhabitants yearly, that means 6.9 neurologists-type per 100,000 inhabitants. These data suggest that Valencian neurologists agree a model of direct neurological care, including diagnosis and follow-up of all neurological topics. These data are similar to that obtained in interviews to primary physicians in different healthy areas in the Community and confirms the evolution of neurological care to a model similar to that in the United States. The topic that require more than 100 hours by year are: migraine (1,731) lumbar backache (685), stroke (306), seizures (248), Down's syndrome (175.5), alcoholism (150), zoster (122), severe cranial trauma (105) and dementia (103).
基于任何健康领域的任何专科关注的模式取决于特殊和初级护理的必要性以及专科医生对应该治疗的患者类型的标准。我们就该问题按照一份问卷对巴伦西亚自治区的神经科医生进行了访谈，以了解他们的意见。问卷包含47个神经学主题，我们询问了初诊和复诊时应评估的患者百分比。我们使用了库尔茨克在1986年提出的公式来计算神经学时间。获得的回复率为30%。每年每10万居民的总神经学时间为4600小时，这意味着每10万居民中有6.9名神经科医生当量。这些数据表明，巴伦西亚的神经科医生认可一种直接神经护理模式，包括对所有神经学主题的诊断和随访。这些数据与在该自治区不同健康领域对初级医生访谈中获得的数据相似，并证实了神经护理向类似于美国模式的演变。每年需要超过100小时的主题有：偏头痛（1731）、腰痛（685）、中风（306）、癫痫发作（248）、唐氏综合征（175.5）、酗酒（150）、带状疱疹（122）、严重颅脑外伤（105）和痴呆（103）。
