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Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study

BACKGROUND/AIM: Headaches are one of the most common neurological symptoms. They adversely affect daily life, reduces the workforce, and have high health costs. Managing this symptom in primary care will free up secondary and tertiary health services to better treat patients who need follow-up by sp...

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Autores principales: HÜNDÜR DOĞAN, Esra, ŞENCAN, İrfan, DOĞAN, Hasan, ÖZKARA, Adem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Scientific and Technological Research Council of Turkey 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569759/
https://www.ncbi.nlm.nih.gov/pubmed/33843173
http://dx.doi.org/10.3906/sag-2010-237
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author HÜNDÜR DOĞAN, Esra
ŞENCAN, İrfan
DOĞAN, Hasan
ÖZKARA, Adem
author_facet HÜNDÜR DOĞAN, Esra
ŞENCAN, İrfan
DOĞAN, Hasan
ÖZKARA, Adem
author_sort HÜNDÜR DOĞAN, Esra
collection PubMed
description BACKGROUND/AIM: Headaches are one of the most common neurological symptoms. They adversely affect daily life, reduces the workforce, and have high health costs. Managing this symptom in primary care will free up secondary and tertiary health services to better treat patients who need follow-up by specialists. In the present study, we aim to show the rate at which this problem can be solved in primary care for patients who applied tertiary care services with a headache for the first time. MATERIALS AND METHODS: Our research is a cross-sectional study of 207 patients who applied to the neurology clinics for the first time with headache. Two questionnaires were prepared by the researchers. IBM SPSS v: 21.0 was used for statistical analysis, and the level of significance was p < 0.05. RESULTS: The opinions of the patients on the evaluability of headache in primary care were compared. Family physicians and neurologists gave similar responses about the disease management, at a rate of 96.6%, this was found to be statistically significant and shows strong agreement. Both groups of physicians thought that 70% of patients, on average, who applied to the neurology clinics with headache for the first time could be managed in primary care. However, only 9.2% of the patients share this opinion with physicians. Primary headache cases constitute most of the cases that are thought to be solved in primary care. It was revealed that the number of patients seeking primary care with this complaint was lower than expected. CONCLUSION: Patients with headache applied tertiary care instead of primary care for different reasons. Both neurologists and family physicians stated that most patients evaluated in tertiary care could be managed in primary care.
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spelling pubmed-85697592021-11-17 Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study HÜNDÜR DOĞAN, Esra ŞENCAN, İrfan DOĞAN, Hasan ÖZKARA, Adem Turk J Med Sci Article BACKGROUND/AIM: Headaches are one of the most common neurological symptoms. They adversely affect daily life, reduces the workforce, and have high health costs. Managing this symptom in primary care will free up secondary and tertiary health services to better treat patients who need follow-up by specialists. In the present study, we aim to show the rate at which this problem can be solved in primary care for patients who applied tertiary care services with a headache for the first time. MATERIALS AND METHODS: Our research is a cross-sectional study of 207 patients who applied to the neurology clinics for the first time with headache. Two questionnaires were prepared by the researchers. IBM SPSS v: 21.0 was used for statistical analysis, and the level of significance was p < 0.05. RESULTS: The opinions of the patients on the evaluability of headache in primary care were compared. Family physicians and neurologists gave similar responses about the disease management, at a rate of 96.6%, this was found to be statistically significant and shows strong agreement. Both groups of physicians thought that 70% of patients, on average, who applied to the neurology clinics with headache for the first time could be managed in primary care. However, only 9.2% of the patients share this opinion with physicians. Primary headache cases constitute most of the cases that are thought to be solved in primary care. It was revealed that the number of patients seeking primary care with this complaint was lower than expected. CONCLUSION: Patients with headache applied tertiary care instead of primary care for different reasons. Both neurologists and family physicians stated that most patients evaluated in tertiary care could be managed in primary care. The Scientific and Technological Research Council of Turkey 2021-08-30 /pmc/articles/PMC8569759/ /pubmed/33843173 http://dx.doi.org/10.3906/sag-2010-237 Text en Copyright © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Article
HÜNDÜR DOĞAN, Esra
ŞENCAN, İrfan
DOĞAN, Hasan
ÖZKARA, Adem
Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study
title Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study
title_full Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study
title_fullStr Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study
title_full_unstemmed Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study
title_short Can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study
title_sort can patients who apply to tertiary care with headache for the first time be managed in primary care? - a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569759/
https://www.ncbi.nlm.nih.gov/pubmed/33843173
http://dx.doi.org/10.3906/sag-2010-237
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