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Ensuring Access to Neurologic Care: Challenges and Opportunities
Chloé E Hill1, Chun Chieh Lin2, Brian C Callaghan1
1Department of Neurology, University of Michigan, Ann Arbor, Michigan.
Seminars in Neurology
|April 4, 2025
Summary
Access to neurologic care faces challenges in availability, accessibility, and affordability. Solutions include better specialist triage, telemedicine, and drug price negotiation to improve patient outcomes.
Area of Science:
- Neurology
- Healthcare Access
Background:
- Neurologic disorders affect a significant portion of the US population.
- The prevalence necessitates adequate and efficient neurologic care delivery.
Purpose of the Study:
- To review current access to neurologic care.
- To examine challenges and opportunities in neurologic care access.
Main Methods:
- Review of existing literature and data on neurologic care access.
- Analysis of factors influencing availability, accessibility, and affordability.
Main Results:
- Issues with neurologist availability indicated by long wait times and under-treatment.
- Regional and urban/rural disparities impact care accessibility.
- High out-of-pocket costs and drug prices hinder affordability.
Conclusions:
- Improving neurologic care access requires addressing availability through better triage and advanced practice providers.
- Telemedicine can mitigate accessibility barriers.
- Cost barriers necessitate appropriate test utilization and drug price negotiation.
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