Aspects of Referral Care for Headache Associated With Improvement
Objective.—To assess which aspects of referral care for headache are associated with improvement of pain and subjective quality of life. Background.—In managed care, referrals to a specialist are sometimes kept to a minimum. It has been questioned whether patients with headache do better after consu...
Published in: | Headache: The Journal of Head and Face Pain |
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Online Access: | http://dx.doi.org/10.1046/j.1526-4610.2003.03136.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1526-4610.2003.03136.x http://onlinelibrary.wiley.com/wol1/doi/10.1046/j.1526-4610.2003.03136.x/fullpdf |
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crwiley:10.1046/j.1526-4610.2003.03136.x 2024-06-02T08:12:06+00:00 Aspects of Referral Care for Headache Associated With Improvement Salvesen, Rolf Bekkelund, Svein Ivar 2003 http://dx.doi.org/10.1046/j.1526-4610.2003.03136.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1526-4610.2003.03136.x http://onlinelibrary.wiley.com/wol1/doi/10.1046/j.1526-4610.2003.03136.x/fullpdf en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Headache: The Journal of Head and Face Pain volume 43, issue 7, page 779-783 ISSN 0017-8748 1526-4610 journal-article 2003 crwiley https://doi.org/10.1046/j.1526-4610.2003.03136.x 2024-05-03T10:39:29Z Objective.—To assess which aspects of referral care for headache are associated with improvement of pain and subjective quality of life. Background.—In managed care, referrals to a specialist are sometimes kept to a minimum. It has been questioned whether patients with headache do better after consultation with a specialist. Methods.—We mailed a questionnaire to all patients referred for headache to a neurologic center in northern Norway during a 2‐year period (n = 1403) . The questionnaire included items concerning diagnosis and treatment, along with simple visual analog scales to assess whether the patient's headache syndrome and self‐perceived quality of life had changed after seeing the specialist. Results.—There were 1052 responders (75%). Headache generally decreased after consultation with a specialist; it decreased significantly more in the 527 patients who were assigned a diagnosis compared to the 344 patients who claimed they were not. Reduction of headache also was significantly more obvious in the 483 patients who had treatment prescribed, as compared to the 385 patients not receiving any therapeutic measure. Self‐perceived quality of life was generally improved, significantly more when the patient was given a diagnosis, and even when the diagnosis did not lead to treatment. Conclusions.—Patients referred to a neurologic center for evaluation of headache generally experience a significantly greater improvement in their headache syndrome and quality of life. This appears particularly so when they receive a diagnosis, even if no treatment is prescribed. Article in Journal/Newspaper Northern Norway Wiley Online Library Norway Headache: The Journal of Head and Face Pain 43 7 779 783 |
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Objective.—To assess which aspects of referral care for headache are associated with improvement of pain and subjective quality of life. Background.—In managed care, referrals to a specialist are sometimes kept to a minimum. It has been questioned whether patients with headache do better after consultation with a specialist. Methods.—We mailed a questionnaire to all patients referred for headache to a neurologic center in northern Norway during a 2‐year period (n = 1403) . The questionnaire included items concerning diagnosis and treatment, along with simple visual analog scales to assess whether the patient's headache syndrome and self‐perceived quality of life had changed after seeing the specialist. Results.—There were 1052 responders (75%). Headache generally decreased after consultation with a specialist; it decreased significantly more in the 527 patients who were assigned a diagnosis compared to the 344 patients who claimed they were not. Reduction of headache also was significantly more obvious in the 483 patients who had treatment prescribed, as compared to the 385 patients not receiving any therapeutic measure. Self‐perceived quality of life was generally improved, significantly more when the patient was given a diagnosis, and even when the diagnosis did not lead to treatment. Conclusions.—Patients referred to a neurologic center for evaluation of headache generally experience a significantly greater improvement in their headache syndrome and quality of life. This appears particularly so when they receive a diagnosis, even if no treatment is prescribed. |
format |
Article in Journal/Newspaper |
author |
Salvesen, Rolf Bekkelund, Svein Ivar |
spellingShingle |
Salvesen, Rolf Bekkelund, Svein Ivar Aspects of Referral Care for Headache Associated With Improvement |
author_facet |
Salvesen, Rolf Bekkelund, Svein Ivar |
author_sort |
Salvesen, Rolf |
title |
Aspects of Referral Care for Headache Associated With Improvement |
title_short |
Aspects of Referral Care for Headache Associated With Improvement |
title_full |
Aspects of Referral Care for Headache Associated With Improvement |
title_fullStr |
Aspects of Referral Care for Headache Associated With Improvement |
title_full_unstemmed |
Aspects of Referral Care for Headache Associated With Improvement |
title_sort |
aspects of referral care for headache associated with improvement |
publisher |
Wiley |
publishDate |
2003 |
url |
http://dx.doi.org/10.1046/j.1526-4610.2003.03136.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1526-4610.2003.03136.x http://onlinelibrary.wiley.com/wol1/doi/10.1046/j.1526-4610.2003.03136.x/fullpdf |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
Headache: The Journal of Head and Face Pain volume 43, issue 7, page 779-783 ISSN 0017-8748 1526-4610 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1046/j.1526-4610.2003.03136.x |
container_title |
Headache: The Journal of Head and Face Pain |
container_volume |
43 |
container_issue |
7 |
container_start_page |
779 |
op_container_end_page |
783 |
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1800758433265221632 |