Opin vísindi

Structured headache services as the solution to the ill-health burden of headache: 1. Rationale and description : 1. Rationale and description

Show simple item record

dc.contributor.author on behalf of Lifting The Burden: the Global Campaign against Headache
dc.date.accessioned 2022-06-16T01:01:47Z
dc.date.available 2022-06-16T01:01:47Z
dc.date.issued 2021-07-21
dc.identifier.citation on behalf of Lifting The Burden: the Global Campaign against Headache 2021 , ' Structured headache services as the solution to the ill-health burden of headache: 1. Rationale and description : 1. Rationale and description ' , Journal of Headache and Pain , vol. 22 , no. 1 , 78 , pp. 78 . https://doi.org/10.1186/s10194-021-01265-z
dc.identifier.issn 1129-2369
dc.identifier.other PURE: 39259108
dc.identifier.other PURE UUID: 785b9725-4acf-44c4-b956-6f1d845670d2
dc.identifier.other Scopus: 85109070300
dc.identifier.other unpaywall: 10.1186/s10194-021-01265-z
dc.identifier.uri https://hdl.handle.net/20.500.11815/3244
dc.description © 2021. The Author(s).
dc.description.abstract In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles. High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary. The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded. It is, according to evidence and argument presented, an efficient and cost-effective model, but these are claims to be tested in formal economic analyses.
dc.format.extent 78
dc.language.iso en
dc.relation.ispartofseries Journal of Headache and Pain; 22(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Höfuðverkur
dc.subject Meðferð
dc.subject Delivery of Health Care
dc.subject Headache Disorders
dc.subject Headache/therapy
dc.subject Humans
dc.subject Primary Health Care
dc.title Structured headache services as the solution to the ill-health burden of headache: 1. Rationale and description : 1. Rationale and description
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.pmid 34289806
dc.identifier.doi https://doi.org/10.1186/s10194-021-01265-z
dc.relation.url http://www.scopus.com/inward/record.url?scp=85109070300&partnerID=8YFLogxK
dc.contributor.department Faculty of Pharmaceutical Sciences


Files in this item

This item appears in the following Collection(s)

Show simple item record