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    Epilepsy care in general practice.

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    Authors
    Varley, J
    Fitzsimons, M
    Delanty, N
    Collins, C
    Boland, M
    Normand, C
    Affiliation
    Epilepsy Programme, Beaumont Hospital, Dublin 9. jarlathvarley@beaumont.ie
    Issue Date
    2009-06
    MeSH
    Adult
    Continuity of Patient Care
    Delivery of Health Care
    Epilepsy
    Female
    Health Care Surveys
    Humans
    Ireland
    Male
    Middle Aged
    Neurology
    Physician's Practice Patterns
    Physicians, Family
    Primary Health Care
    Questionnaires
    Referral and Consultation
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    Citation
    Epilepsy care in general practice. 2009, 102 (6):173-6 Ir Med J
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/127442
    PubMed ID
    19722352
    Abstract
    Epilepsy care in Ireland is shared between primary, secondary and tertiary care services with the General Practitioner (GP) managing the process. Barriers to effective epilepsy care in Irish general practice remain undocumented although sub-optimal and fragmented services are frequently anecdotally reported. This survey of Irish GPs reports on such barriers to epilepsy care and on the Information & Communication Technology (ICT) issues potentially relevant to the use of an epilepsy specific Electronic Patient Record (EPR). The response rate was 247/700 (35.3%). Respondents supported the concept of shared care for epilepsy 237 (96%) however they were very dissatisfied with existing neurology services, including pathways of referral 207 (84%) and access to specialist neurology advice and investigations 232 (94%). They reported that neurology services and investigations may be accessed more expeditiously by patients with private health insurance than those without 178 (72%). Consequently many patients are referred to the emergency department for assessment and treatment 180 (73%). A deficit in epilepsy care expertise among GPs was acknowledged 86 (35%). While computerisation of GP practices appears widespread 230 (93%), just over half the respondents utilise available electronic functionalities specific to chronic disease management. GP specific electronic systems infrequently link or communicate with external electronic sources 133 (54%). While the current pathways of care for epilepsy in Ireland appear fragmented and inadequate, further investigations to determine the quality and cost effectiveness of the current service are required.
    Item Type
    Article
    Language
    en
    ISSN
    0332-3102
    Collections
    Beaumont Hospital

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