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Published on: June 2, 2014
Migraine: barriers for care
F D Sheftell1, S J Tepper, M E Bigal
1The New England Center for Headache, 778 Long Ridge Road, Stamford, CT, USA. ninotores1@aol.com
Migraine headaches affect 12% of the adult population in occidental countries and cause a significant economic loss due to decreased workplace productivity. However only a minority of migraine sufferers worldwide ever receive a correct diagnosis or appropriate treatment. Several barriers for adequate care contribute to this situation. In this article we discuss some strategies to bypass these barriers, summarised herein as: (1) identifying migraine sufferers in need of care; (2) improving medical recognition; (3) supporting the differential diagnosis; (4) improving medical confidence; (5) improving medical treatment; and (6) assessing treatment outcomes.
Migraine headaches affect 12% of the adult population in occidental countries and cause a significant economic loss due to decreased workplace productivity. However only a minority of migraine sufferers worldwide ever receive a correct diagnosis or appropriate treatment. Several barriers for adequate care contribute to this situation. In this article we discuss some strategies to bypass these barriers, summarised herein as: (1) identifying migraine sufferers in need of care; (2) improving medical recognition; (3) supporting the differential diagnosis; (4) improving medical confidence; (5) improving medical treatment; and (6) assessing treatment outcomes.
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