Thapar A K
University of Wales College of Medicine, Cardiff.
Br J Gen Pract. 1996 Jan;46(402):37-42.
Epilepsy is a serious neurological condition that has important medical, psychological and social consequences. Up to 90% of patients with epilepsy are not under hospital supervision at any one time; the role of the general practitioner is therefore of central importance. There seems little doubt that community care of people with epilepsy must be improved. This article reviews the research findings on the quality of care of people with epilepsy, examines the barriers to effective community care, and looks at local and national initiatives to improve the care of patients with epilepsy in the community. Finally, the review considers how care can best be provided in an efficient, effective and acceptable manner within the resources of present day general practice. A patient-centred model is proposed that would tailor care to the needs of the individual patient.
癫痫是一种严重的神经系统疾病，会产生重要的医学、心理和社会影响。多达90%的癫痫患者在任何时候都没有接受医院的监管；因此，全科医生的作用至关重要。毫无疑问，癫痫患者的社区护理必须得到改善。本文回顾了关于癫痫患者护理质量的研究结果，审视了有效社区护理的障碍，并探讨了改善社区癫痫患者护理的地方和国家举措。最后，本综述考虑了如何在当今全科医疗资源范围内以高效、有效且可接受的方式提供最佳护理。提出了一种以患者为中心的模式，该模式将根据个体患者的需求定制护理。
