通过公共专业门诊改善功能性的治疗
Lana Higson1, Walter Hipgrave2, Terence J O'Brien3
1Central Clinical School, Monash University, Melbourne, Victoria, Australia; Department of Neurology, Alfred Hospital, Melbourne, Victoria, Australia.
一个新的功能性发作 (FS) 诊所被证明是可行的和有效的. 大多数患者都参加了,接受了诊断,并在一年内改善了控制.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 功能性发作 (FS),以前被称为心理非发作,在临床实践中是一个重大挑战.
- 对于这种患者群体,需要专门的,可访问的服务.
研究的目的:
- 审计一家新的FS公共门诊的最初12个月运营情况.
- 评估这个专用FS诊所模型的可行性和有效性.
主要方法:
- 对FS诊所前12个月的临床笔记进行系统审查.
- 收集关于转诊途径,出席率,临床特征,治疗方法和结果的数据.
- 综合性病学和神经精神病学审查用于诊断.
主要成果:
- 在转诊患者中,出席率高 (>90%).
- 在大多数患者中成功诊断和接受FS.
- 显著的精神病和医学并发症是常见的.
- 88%的随访数据显示FS控制在12个月内稳定或改善.
结论:
- 已建立的功能性发作诊所模型是可行的,并且可能有效.
- 这家诊所为一个服务不足的患者群体提供了重要的治疗途径.
- 该模型代表了澳大利亚FS的第一个专门的公共门诊.
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