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Practice patterns in neurology in India.

B S Singhal1, R D Gursahani, M Menken

  • 1Department of Neurology, Bombay Hospital Institute of Medical Sciences, India.

Neuroepidemiology
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Indian neurologists manage a high patient volume, with many consultations deemed unnecessary. Enhancing primary care physician education is crucial for optimizing limited neurology resources and improving patient care.

Area of Science:

  • Neurology
  • Public Health
  • Healthcare Management

Background:

  • Neurological disorders represent a significant global health burden.
  • Access to specialized neurological care can be limited in many regions, including India.
  • Primary care physicians often manage initial patient encounters for neurological conditions.

Purpose of the Study:

  • To analyze the patient workload and common neurological conditions seen by neurologists in India.
  • To assess the appropriateness of neurological consultations in the Indian healthcare setting.
  • To identify areas for improving the efficiency of neurological service delivery.

Main Methods:

  • Data collected from sixteen Indian neurologists over a six-day period.
  • Patient demographics, diagnoses, and perceived necessity of consultation were recorded.

Related Experiment Videos

  • Analysis of patient diagnoses against ICD-9-CM categories.

    • Main Results:

    • An average daily workload of 19 patients per neurologist, with 11 new cases.
    • Epilepsy (27.0%), headache (19.0%), and cerebrovascular disorders (7.8%) were the most frequent diagnoses.
    • 43% of neurological consultations were considered unnecessary.

    Conclusions:

    • A substantial proportion of neurological consultations in India may not be required.
    • There is a need for improved neurological education among primary care physicians and internists.
    • Optimizing resource utilization through better referral practices is essential for Indian neurology services.