Matías-Guiu J, Vílchez J J, Martín R, Lago A, Catalá J, Morera J
Hospital General Universitario, Alicante.
Rev Neurol. 1997 Feb;25(138):257-61.
The Comision de Analisis de la Calidad de la Sociedad Valenciana de Neurologia has made a proposal of Neurology care requirements, based on the findings of various studies done in this region. There studies suggest that there should be a proportion of 3 neurologists per 100,000 inhabitants.
An analysis of requirements was made, based on evaluation of the public health service, private practice and trainee specialists (MIR) regarding this problem. The need for emergency neurological attention, and the place of a hierarchy and a system for referral was also considered.
It was calculated that 109 neurologists are required, 11 in Castellon, 63 in Valencia and 35 in Alicante. This would mean a proportion of 2,66 neurologists per 100,000 inhabitants in Castellon, 2,90 in Valencia and 2,70 in Alicante. The total figure for the whole Community would be 2,82 per 100,000 inhabitants.
At the present time neurological care is expensive, since a lack of specialists means waiting lists, poor patient care and high costs due to inappropriate use of technical resources.
巴伦西亚神经学协会质量分析委员会根据该地区各项研究结果,提出了神经学护理需求建议。这些研究表明,每10万居民中应有3名神经科医生。
基于对公共卫生服务、私人执业及专科培训医生(MIR)在该问题上的评估,进行了需求分析。还考虑了急诊神经学护理的需求以及分级和转诊系统的地点。
经计算,共需要109名神经科医生,其中卡斯特利翁需要11名,巴伦西亚需要63名,阿利坎特需要35名。这意味着卡斯特利翁每10万居民中有2.66名神经科医生,巴伦西亚为2.90名,阿利坎特为2.70名。整个自治区的总数为每10万居民2.82名。
目前神经学护理成本高昂,因为专家短缺意味着等候名单、患者护理不佳以及因技术资源使用不当导致的高成本。