Abstract
Attempts to determine the ideal number of consultant neurologists that will be required in the United Kingdom in the future are hampered by a lack of information on a variety of topics, one of which concerns the workload of the average neurologist at the present time. This paper attempts to correct this deficiency by examining the clinical workload of a single handed neurologist practising in the south west of England. Diagnostic information is given on the 3020 new patients seen during 1984-1986 and is compared with similar data on 836 new patients seen in 1975. The pattern of diagnoses on these patients varies little from year to year, indicating a constancy of referral habit of those who seek neurological advice. However, the referral rates for different conditions do not correspond with what would be expected from epidemiological data, for when the incidence of particular conditions in the neurology clinic is compared with the calculated incidence in the community, very wide variations are noted. The implications of these data are discussed and it is suggested that further studies should be performed before detailed predictions are made on how many neurologists will be needed in this country in the future.
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Selected References
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- Dyken M. L. The continuing undersupply of neurologists in the 1980s: impressions based on data from three studies. Neurology. 1982 Jun;32(6):651–656. doi: 10.1212/wnl.32.6.651. [DOI] [PubMed] [Google Scholar]
- Franklin G. M., Ringel S. P., Nelson L. M., DeLapp C. Neurology practice patterns in Colorado. Neurology. 1987 Feb;37(2):287–289. doi: 10.1212/wnl.37.2.287. [DOI] [PubMed] [Google Scholar]
- Hopkins A. Different types of neurologist. Br Med J (Clin Res Ed) 1984 Jun 9;288(6432):1733–1736. doi: 10.1136/bmj.288.6432.1733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kurtzke J. F., Bennett D. R., Berg B. O., Beringer G. B., Goldstein M., Vates T. S., Jr Neurologists in the United States--past, present, and future. Neurology. 1986 Dec;36(12):1576–1582. doi: 10.1212/wnl.36.12.1576. [DOI] [PubMed] [Google Scholar]
- Kurtzke J. F. The current neurologic burden of illness and injury in the United States. Neurology. 1982 Nov;32(11):1207–1214. doi: 10.1212/wnl.32.11.1207. [DOI] [PubMed] [Google Scholar]
- Marsden C. D. What should neurologists do? J Neurol Neurosurg Psychiatry. 1981 Dec;44(12):1059–1060. doi: 10.1136/jnnp.44.12.1059. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McDonald W. I., Halliday A. M. Diagnosis and classification of multiple sclerosis. Br Med Bull. 1977 Jan;33(1):4–9. [PubMed] [Google Scholar]
- Morrow J. I., Patterson V. H. The neurological practice of a district general hospital. J Neurol Neurosurg Psychiatry. 1987 Nov;50(11):1397–1401. doi: 10.1136/jnnp.50.11.1397. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Perkin G. D. Necessity for inpatient services in neurological practice. J R Soc Med. 1983 Nov;76(11):920–923. doi: 10.1177/014107688307601106. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Swingler R. J., Compston D. A. The prevalence of multiple sclerosis in south east Wales. J Neurol Neurosurg Psychiatry. 1988 Dec;51(12):1520–1524. doi: 10.1136/jnnp.51.12.1520. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wade D. T., Hewer R. L. Epidemiology of some neurological diseases with special reference to work load on the NHS. Int Rehabil Med. 1987;8(3):129–137. doi: 10.3109/03790798709166197. [DOI] [PubMed] [Google Scholar]