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Advisor(s)
Abstract(s)
Introdução: Com o objectivo de otimizar os cuidados médicos prestados aos doentes com cefaleias em Portugal, a Sociedade Portuguesa de Cefaleias (SPC) transpôs para a realidade portuguesa as recomendações europeias para organização dos serviços de saúde neste contexto. Nesse documento são calculadas as necessidades de recursos, em termos de serviços de saúde, para garantir um apoio efetivo e de qualidade a estes doentes quer a nível de cuidados de saúde primários, quer de cuidados diferenciados, estes atribuídos à especialidade de neurologia. Neste sentido, considerou-se necessário efetuar um levantamento relativo à oferta de serviços de saúde diferenciados em cefaleias existente em Portugal e à sua perspetiva de evolução, nos próximos anos, de forma a perceber se corresponde às necessidades estimadas. Métodos: Foi disponibilizado um inquérito online aos sócios da SPC e da Sociedade Portuguesa de Neurologia que caracteriza a oferta de serviços de saúde diferenciados em cefaleias. Resultados: Foram obtidas respostas de 52 médicos, pertencentes a 40 instituições, 24(59%) do sistema nacional de saúde, cobrindo adequadamente o território nacional exceto nas regiões do Alentejo e Algarve. A maioria dos centros tem consulta de cefaleias, 88% com médicos dedicados e 91% dispondo de técnicas avançadas de tratamento (bloqueios, toxina e anticorpos monoclonais). Na maioria destes centros há 1 ou 2 médicos atribuídos a esta função, oferecendo em média 169 consultas por dia útil – cada instituição oferece, em média, 20 consultas por semana. O tempo de espera para a consulta é superior a 3 meses em 65% dos centros do SNS, mas as consultas e tratamentos tem a duração e dispõem de recursos técnicos adequados. A maioria dos centros tem expectativa de aumentar a oferta nos próximos 2 anos. Conclusão: Muito embora com limitações condicionadas pelo método, podemos afirmar que existem um número de centros adequado para apoio diferenciado aos doentes com cefaleias em Portugal, no entanto com uma oferta inferior à necessária (cerca de 13%), condicionada sobretudo por escassez de tempo médico atribuído a esta função.
Introduction: Aiming to improve the medical care provided to patients with headaches in Portugal, the Portuguese Headache Society (SPC) transposed the Eu-ropean recommendations for the organization of health services for headache to the Portuguese context. This document calculates the need for resources, in terms of health services, to ensure effective and quality support for headache patients, both in terms of primary and specialized care, the latter being attributed to neurology. In this sense, it was considered necessary to survey he offer of differentiated health services for headaches in Portugal and its’ perspective of evolution, in the coming years, in order to understand if it corresponds to the estimated needs. Methods: An online survey was made available to members of the SPC and the Portuguese Society of Neurology, which characterizes the provision of differentiated health services in headache. Results: Responses were obtained from 52 doctors, of 40 health care facilities, 24 (59%) belonging to the national health system. The national territory was covered adequately, except in the regions of Alentejo and Algarve. Most centers have headache clinics, 88% with dedicated doctors and 91% with advanced treatment tech-niques (nerve blocks, botulinum toxin and monoclonal antibodies). Most of these centers have only 1 or 2 physicians assigned to this function, providing an average of 169 consultations per working day – each institution offers an average of 20 consultations per week. The waiting time for the consultation is over 3 months in 65% of the centers of the SNS, but the consultations and treatments allocated time is adequate and most have adequate technical resources. Most centers expect to in-crease their offer in the next 2 years. Conclusion: Although with limitations conditioned by the method, we can state that there are an adequate number of centers for differentiated support of headaches patients in Portugal, although the services offer in lower than necessary (about 13%), conditioned mainly by scarcity of medical time assigned to this role.
Introduction: Aiming to improve the medical care provided to patients with headaches in Portugal, the Portuguese Headache Society (SPC) transposed the Eu-ropean recommendations for the organization of health services for headache to the Portuguese context. This document calculates the need for resources, in terms of health services, to ensure effective and quality support for headache patients, both in terms of primary and specialized care, the latter being attributed to neurology. In this sense, it was considered necessary to survey he offer of differentiated health services for headaches in Portugal and its’ perspective of evolution, in the coming years, in order to understand if it corresponds to the estimated needs. Methods: An online survey was made available to members of the SPC and the Portuguese Society of Neurology, which characterizes the provision of differentiated health services in headache. Results: Responses were obtained from 52 doctors, of 40 health care facilities, 24 (59%) belonging to the national health system. The national territory was covered adequately, except in the regions of Alentejo and Algarve. Most centers have headache clinics, 88% with dedicated doctors and 91% with advanced treatment tech-niques (nerve blocks, botulinum toxin and monoclonal antibodies). Most of these centers have only 1 or 2 physicians assigned to this function, providing an average of 169 consultations per working day – each institution offers an average of 20 consultations per week. The waiting time for the consultation is over 3 months in 65% of the centers of the SNS, but the consultations and treatments allocated time is adequate and most have adequate technical resources. Most centers expect to in-crease their offer in the next 2 years. Conclusion: Although with limitations conditioned by the method, we can state that there are an adequate number of centers for differentiated support of headaches patients in Portugal, although the services offer in lower than necessary (about 13%), conditioned mainly by scarcity of medical time assigned to this role.
Description
Keywords
Cefaleia Prestação de cuidados de saúde Delivery of health care Headache