Future role of neurologists.

AUTOR(ES)

Engstrom, J W

RESUMO

Clinical neurologists in the health care system of the future should have a multifaceted role. Advances in the basic understanding of the nervous system and therapeutics of neurologic disease have created, for the first time in human history, an ethical imperative to correctly diagnose neurologic disease. In many situations, the neurologists may function as a consultant and principal physician for patients with primary nervous system disorders including Parkinson's disease, multiple sclerosis, Alzheimer's disease, epilepsy, migraine, cerebrovascular disease, movement disorders, and neuromuscular disease. Other important roles for neurologists include the training of future physicians, both neurologists and primary care physicians, the application of cost-effective approaches to care, and the support of health care delivery research and academic programs that link basic research efforts to the development of new therapy. To be successful, future residency training programs should include joint certification opportunities in both neurology and general medicine, and training programs for clinical investigators should be expanded. Despite its threats to specialists, managed care should also provide opportunities for new alliances among neurologists, other specialists, and primary care physicians that will both improve patient care and increase efficiency and cost-effectiveness.

Documentos Relacionados

• The work of neurologists.
• Proceedings of the Association of British Neurologists. London, 27-29 October 1988. Abstracts.
• Proceedings of the Association of British Neurologists. London, 29 September-1 October 1993. Abstracts.
• Proceedings of the meeting of the Association of British Neurologists jointly with the Association of Soviet Neurologists. Leningrad, USSR, 25-28 May 1988. Abstracts.
• The development of a disease classification system, based on the International Classification of Diseases, for use by neurologists.