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dc.contributor.authorVarley, J
dc.contributor.authorO'Connor, R
dc.contributor.authorDelanty, N
dc.contributor.authorO'Riordan, D
dc.contributor.authorKenny, A
dc.contributor.authorBarry, N
dc.contributor.authorQuigney, M
dc.contributor.authorNormand, C
dc.contributor.authorFitzsimons, M
dc.date.accessioned2011-11-17T10:47:38Z
dc.date.available2011-11-17T10:47:38Z
dc.date.issued2011-11-17T10:47:38Z
dc.identifier.citationTowards the development of integrated epilepsy services: an audit of documented epilepsy care., 104 (7):214-7 Ir Med Jen
dc.identifier.issn0332-3102
dc.identifier.pmid21957690
dc.identifier.urihttp://hdl.handle.net/10147/189813
dc.description.abstractEffective chronic disease management (CDM) requires the ready availability and communication of accurate, clinical disease specific information. Using epilepsy as a probe into CDM, we report on the availability and reliability of clinical information in the primary care records of people with epilepsy (PWE). The medical records of 374 PWE from 53 general practices in the Mid-West region of Ireland were examined. Confirmation of an epilepsy diagnosis by a neurologist was documented for 132 (35%) patients. 282 (75%) patients had no documented evidence of receiving specialist neurology review while 149 (40%) had not been reviewed by their GP in the previous two years for their epilepsy. Significant variation in documentation of epilepsy specific information together with an inadequacy and inconsistency of existing epilepsy services was highlighted.
dc.language.isoenen
dc.subject.meshDelivery of Health Care, Integrated
dc.subject.meshDisease Management
dc.subject.meshDocumentation
dc.subject.meshEpilepsy
dc.subject.meshHumans
dc.subject.meshIreland
dc.subject.meshMedical Audit
dc.subject.meshPrimary Health Care
dc.titleTowards the development of integrated epilepsy services: an audit of documented epilepsy care.en
dc.typeArticleen
dc.contributor.departmentEpilepsy Programme, Beaumont Hospital, Beaumont Road, Dublin 9. jarlath.varley@hse.ieen
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster
refterms.dateFOA2018-08-22T15:00:15Z
html.description.abstractEffective chronic disease management (CDM) requires the ready availability and communication of accurate, clinical disease specific information. Using epilepsy as a probe into CDM, we report on the availability and reliability of clinical information in the primary care records of people with epilepsy (PWE). The medical records of 374 PWE from 53 general practices in the Mid-West region of Ireland were examined. Confirmation of an epilepsy diagnosis by a neurologist was documented for 132 (35%) patients. 282 (75%) patients had no documented evidence of receiving specialist neurology review while 149 (40%) had not been reviewed by their GP in the previous two years for their epilepsy. Significant variation in documentation of epilepsy specific information together with an inadequacy and inconsistency of existing epilepsy services was highlighted.


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