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A Real Life Clinical Practice of Neurologists in the Ambulatory Setting in Thailand: A Pragmatic Study.

Kongbunkiat K, Tiamkao S, Chotmongkol V, Chieawthanakul P, Kitcharoen S, Jitpimolmard S, Sawanyawisuth K - Neurol Int (2015)

Bottom Line: Neurologists spent an average of 6.34 minutes per patient.In conclusion, neurologists in medical schools have limited time to take care of each patient.Several strategies are needed in medical education and neurology training to improve the quality of care.

View Article: PubMed Central - PubMed

Affiliation: Division of Neurology, Department of Medicine, Khon Kaen University , Thailand.

ABSTRACT
The burden of neurological disorders is high in developing countries. Real life data from neurologists as to how they practice in Thailand are limited in literature. Practices of neurologists in a university hospital clinical setting in Thailand were studied. A prospective study was performed at the ambulatory neurology clinic, Khon Kaen University Hospital, between 1 February and 31 October 2009. The following data were recorded: numbers of patients, characteristics of patients, consultation notes, and time spent for each patient. There were three neurologists, each of whom ran one afternoon clinic, once a week. There were 6137 visits during the 9 months, with an average of 681 visits per month. The total number of patients was 2834. The three most common diseases were cerebrovascular diseases (33%), epilepsy (16%), and movement disorders (non-Parkinson's disease, 12%). Neurologists spent an average of 6.34 minutes per patient. In conclusion, neurologists in medical schools have limited time to take care of each patient. Several strategies are needed in medical education and neurology training to improve the quality of care.

No MeSH data available.


Related in: MedlinePlus

Age distribution of patients who attended the ambulatory neurology clinic during the study period.
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fig001: Age distribution of patients who attended the ambulatory neurology clinic during the study period.

Mentions: The total number of visits to doctors was 6137 in a period of 9 months (681 visits/month). The total number of patients was 2834. Of those, 1488 patients (53%) were female, while 1346 patients (47%) were male. Most patients were in the age range of 51–60 years (Figure 1). Most patients, 2652 patients or 93%, were Thai, while 161 patients (6%) were Chinese, 15 patients (1%) were Laotian, and 6 patients (0.2%) were Caucasians. The neurologists spent an average of 6.34 minutes per patient.


A Real Life Clinical Practice of Neurologists in the Ambulatory Setting in Thailand: A Pragmatic Study.

Kongbunkiat K, Tiamkao S, Chotmongkol V, Chieawthanakul P, Kitcharoen S, Jitpimolmard S, Sawanyawisuth K - Neurol Int (2015)

Age distribution of patients who attended the ambulatory neurology clinic during the study period.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508543&req=5

fig001: Age distribution of patients who attended the ambulatory neurology clinic during the study period.
Mentions: The total number of visits to doctors was 6137 in a period of 9 months (681 visits/month). The total number of patients was 2834. Of those, 1488 patients (53%) were female, while 1346 patients (47%) were male. Most patients were in the age range of 51–60 years (Figure 1). Most patients, 2652 patients or 93%, were Thai, while 161 patients (6%) were Chinese, 15 patients (1%) were Laotian, and 6 patients (0.2%) were Caucasians. The neurologists spent an average of 6.34 minutes per patient.

Bottom Line: Neurologists spent an average of 6.34 minutes per patient.In conclusion, neurologists in medical schools have limited time to take care of each patient.Several strategies are needed in medical education and neurology training to improve the quality of care.

View Article: PubMed Central - PubMed

Affiliation: Division of Neurology, Department of Medicine, Khon Kaen University , Thailand.

ABSTRACT
The burden of neurological disorders is high in developing countries. Real life data from neurologists as to how they practice in Thailand are limited in literature. Practices of neurologists in a university hospital clinical setting in Thailand were studied. A prospective study was performed at the ambulatory neurology clinic, Khon Kaen University Hospital, between 1 February and 31 October 2009. The following data were recorded: numbers of patients, characteristics of patients, consultation notes, and time spent for each patient. There were three neurologists, each of whom ran one afternoon clinic, once a week. There were 6137 visits during the 9 months, with an average of 681 visits per month. The total number of patients was 2834. The three most common diseases were cerebrovascular diseases (33%), epilepsy (16%), and movement disorders (non-Parkinson's disease, 12%). Neurologists spent an average of 6.34 minutes per patient. In conclusion, neurologists in medical schools have limited time to take care of each patient. Several strategies are needed in medical education and neurology training to improve the quality of care.

No MeSH data available.


Related in: MedlinePlus