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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

Disease distributions of patients who attended the ambulatory neurology clinic during the study period. CVD, cerebrovascular disease; MM, movement disorders; PD; Parkinson’s disease; GMD, general medical diseases; NMJ, neuromuscular junction; CNS-ID, central nervous system infection; CN, cranial nerve neuropathy; ND, neurodegenerative diseases.
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fig002: Disease distributions of patients who attended the ambulatory neurology clinic during the study period. CVD, cerebrovascular disease; MM, movement disorders; PD; Parkinson’s disease; GMD, general medical diseases; NMJ, neuromuscular junction; CNS-ID, central nervous system infection; CN, cranial nerve neuropathy; ND, neurodegenerative diseases.

Mentions: The ten leading diagnoses among the outpatients were: i) cerebrovascular diseases (33%), ii) epilepsy (16%), iii) movement disorders (MM, non-Parkinson’s disease, 12%), iv) Parkinson’s disease (PD, 10%), v) general medical diseases (4%), vi) headaches (4%), vii) neuromuscular junction (NMJ) diseases (4%), viii) central nervous system (CNS) infection (3%), ix) cranial nerve neuropathy (2%), and x) neurodegenerative diseases (2%) as shown in Figure 2.


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)

Disease distributions of patients who attended the ambulatory neurology clinic during the study period. CVD, cerebrovascular disease; MM, movement disorders; PD; Parkinson’s disease; GMD, general medical diseases; NMJ, neuromuscular junction; CNS-ID, central nervous system infection; CN, cranial nerve neuropathy; ND, neurodegenerative diseases.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig002: Disease distributions of patients who attended the ambulatory neurology clinic during the study period. CVD, cerebrovascular disease; MM, movement disorders; PD; Parkinson’s disease; GMD, general medical diseases; NMJ, neuromuscular junction; CNS-ID, central nervous system infection; CN, cranial nerve neuropathy; ND, neurodegenerative diseases.
Mentions: The ten leading diagnoses among the outpatients were: i) cerebrovascular diseases (33%), ii) epilepsy (16%), iii) movement disorders (MM, non-Parkinson’s disease, 12%), iv) Parkinson’s disease (PD, 10%), v) general medical diseases (4%), vi) headaches (4%), vii) neuromuscular junction (NMJ) diseases (4%), viii) central nervous system (CNS) infection (3%), ix) cranial nerve neuropathy (2%), and x) neurodegenerative diseases (2%) as shown in Figure 2.

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