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dc.contributor.authorSteiner, Timothy J.
dc.contributor.authorJensen, Rigmor
dc.contributor.authorKatsarava, Zaza
dc.contributor.authorStovner, Lars Jacob
dc.contributor.authorUluduz, Derya
dc.contributor.authorAdarmouch, Latifa
dc.contributor.authorAl Jumah, Mohammed
dc.contributor.authorAl Khathaami, Ali M.
dc.contributor.authorAshina, Messoud
dc.contributor.authorBraschinsky, Mark
dc.contributor.authorBroner, Susan
dc.contributor.authorEliasson, Jon H.
dc.contributor.authorGil-Gouveia, Raquel
dc.contributor.authorGómez-Galván, Juan B.
dc.contributor.authorGudmundsson, Larus S.
dc.contributor.authorHerekar, Akbar A.
dc.contributor.authorKawatu, Nfwama
dc.contributor.authorKissani, Najib
dc.contributor.authorKulkarni, Girish Baburao
dc.contributor.authorLebedeva, Elena R.
dc.contributor.authorLeonardi, Matilde
dc.contributor.authorLinde, Mattias
dc.contributor.authorLuvsannorov, Otgonbayar
dc.contributor.authorMaiga, Youssoufa
dc.contributor.authorMilanov, Ivan
dc.contributor.authorMitsikostas, Dimos D.
dc.contributor.authorMusayev, Teymur
dc.contributor.authorOlesen, Jes
dc.contributor.authorOsipova, Vera
dc.contributor.authorPaemeleire, Koen
dc.contributor.authorPeres, Mario F. P.
dc.contributor.authorQuispe, Guiovanna
dc.contributor.authorRao, Girish N.
dc.contributor.authorRisal, Ajay
dc.contributor.authorde la Torre, Elena Ruiz
dc.contributor.authorSaylor, Deanna
dc.contributor.authorTogha, Mansoureh
dc.contributor.authorYu, Shengyuan
dc.contributor.authorZebenigus, Mehila
dc.contributor.authorZewde, Yared Zenebe
dc.contributor.authorZidverc-Trajković, Jasna
dc.contributor.authorTinelli, Michela
dc.identifier.citationThe Journal of Headache and Pain. 2021, 22 (1), .en_US
dc.description.abstractIn countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles. High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary. The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleStructured Q1 headache services as the solution to the ill-health burden of headache: 1. Rationale and descriptionen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.source.journalThe Journal of Headache and Painen_US

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