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The Healthcare Solution to Headache

  • Timothy J. SteinerEmail author
  • Rigmor Jensen
  • Zaza Katsarava
  • Derya Uluduz
  • Michela Tinelli
  • Hallie Thomas
  • Lars Jacob Stovner
Chapter
Part of the Headache book series (HEAD)

Abstract

This chapter builds on Chap.  14, describing structured headache services as the healthcare solution to headache.

Where headache services exist at all, their focus is usually, inappropriately, on specialist care, while compartmentalized divisions between primary and secondary care create multiple inefficiencies. The model described here seeks vertical integration while recognizing that headache services not only must but readily can be delivered for the most part in primary care. It is a cost-effective solution and almost certainly cost-saving in all economies.

Political will is needed for change to happen. This is the greatest challenge.

Keywords

Headache disorders Barriers to care Public health Health policy Structured headache services Change management Needs assessment Service organization and delivery Primary care Specialized centres Education Economic analysis Cost-effectiveness Global Campaign against Headache 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Timothy J. Steiner
    • 1
    • 2
    Email author
  • Rigmor Jensen
    • 3
  • Zaza Katsarava
    • 4
    • 5
    • 6
    • 7
  • Derya Uluduz
    • 8
  • Michela Tinelli
    • 9
  • Hallie Thomas
    • 1
  • Lars Jacob Stovner
    • 1
    • 10
  1. 1.Department of Neuromedicine and Movement ScienceNTNU Norwegian University of Science and TechnologyTrondheimNorway
  2. 2.Division of Brain SciencesImperial College LondonLondonUK
  3. 3.Department of Neurology, Danish Headache CentreUniversity of Copenhagen, Rigshospitalet GlostrupGlostrupDenmark
  4. 4.Evangelical Hospital UnnaUnnaGermany
  5. 5.Department of NeurologyUniversity of Duisburg-EssenEssenGermany
  6. 6.EVEX Medical CorporationTbilisiGeorgia
  7. 7.IM Sechenov First Moscow State Medical University (Sechenov University)MoscowRussian Federation
  8. 8.Neurology Department, Cerrahpaşa School of MedicineIstanbul UniversityIstanbulTurkey
  9. 9.Personal Social Services Research UnitThe London School of Economics and Political ScienceLondonUK
  10. 10.Norwegian Advisory Unit on Headaches, Department of Neurology and Clinical NeurophysiologySt Olavs University HospitalTrondheimNorway

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