Migraine: Identifying and removing barriers to care

Richard B. Lipton, Joan C. Amatniek, Michel D. Ferrari, Michael Gross

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

The high levels of pain and disability associated with undiagnosed migraine or inadequate treatment of migraine offer a potential target for healthcare intervention. Both the individual patient and society are affected by decisions regarding which migraine sufferers are most in need of medical care. Pain is the most important symptom for the individual patient, but disability may be the most important consequence of migraine for an increasingly cost-conscious society. These two perspectives are the components of a migraine severity or impact measure being developed to define migraine sufferers most in need of care. The criteria for developing screening programs provide a context for evaluating healthcare interventions for migraine. Barriers to effective care occur on at least three levels: many people with migraine do not consult doctors; consulters may not receive the correct diagnosis; and even when the correct diagnosis is made, many migraineurs do not receive effective treatment. Screening and impact measures may help both to improve diagnosis and to determine which migraineurs are most in need of care. Public and physician education, screening, and impact measures might circumvent many of the barriers to effective care for people with migraine.

Original languageEnglish (US)
Pages (from-to)S63-S68
JournalNeurology
Volume44
Issue number6
StatePublished - 1994

Fingerprint

Migraine Disorders
Delivery of Health Care
Pain
Screening
Physicians
Education
Healthcare
Costs and Cost Analysis
Therapeutics

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology
  • Neuroscience(all)

Cite this

Lipton, R. B., Amatniek, J. C., Ferrari, M. D., & Gross, M. (1994). Migraine: Identifying and removing barriers to care. Neurology, 44(6), S63-S68.

Migraine : Identifying and removing barriers to care. / Lipton, Richard B.; Amatniek, Joan C.; Ferrari, Michel D.; Gross, Michael.

In: Neurology, Vol. 44, No. 6, 1994, p. S63-S68.

Research output: Contribution to journalArticle

Lipton, RB, Amatniek, JC, Ferrari, MD & Gross, M 1994, 'Migraine: Identifying and removing barriers to care', Neurology, vol. 44, no. 6, pp. S63-S68.
Lipton RB, Amatniek JC, Ferrari MD, Gross M. Migraine: Identifying and removing barriers to care. Neurology. 1994;44(6):S63-S68.
Lipton, Richard B. ; Amatniek, Joan C. ; Ferrari, Michel D. ; Gross, Michael. / Migraine : Identifying and removing barriers to care. In: Neurology. 1994 ; Vol. 44, No. 6. pp. S63-S68.
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