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Specialist regional neurological services 

Specialist regional neurological services
Chapter:
Specialist regional neurological services
Author(s):

John Zajicek

, Jennifer Freeman

, and Bernadette Porter

DOI:
10.1093/med/9780198569831.003.0023
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date: 19 August 2019

Introduction 216

Demyelinating disease diagnostic clinics 218

MS relapse clinics 220

Spasticity services 222

Continence advisory services 224

Specialist wheelchair and seating services 224

Functional electrical stimulation clinics 226

Specialist driving assessment centres 226

Specialist regional inpatient neurological rehabilitation units 228

It is now generally accepted that complex conditions, such as MS, are best managed by a combination of regional specialist and local services. Regional specialist services appear to be particularly beneficial when needs are complex, and where it is important that health professionals are seeing enough patients to understand the difficult issues encountered, and to develop and maintain the necessary skill level. It is also argued that specialised services reorganize care in a more efficient and effective manner, by bringing together the personnel and resources required to meet the patient's needs. Importantly there is some evidence to suggest that patients are also more satisfied and confident with the care they receive from specialist services....

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