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Neurology International
Volume 7
Issue 1
10.4081/ni.2015.5840
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Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

A Real Life Clinical Practice of Neurologists in the Ambulatory Setting in Thailand: A Pragmatic Study

by
Kannikar Kongbunkiat
1,
Somsak Tiamkao
1,2,
Verajit Chotmongkol
1,
Piyawan Chieawthanakul
3,
Sarawut Kitcharoen
4,
Suthipun Jitpimolmard
1 and
Kittisak Sawanyawisuth
5,6,*
1
Division of Neurology, Department of Medicine, Khon Kaen University
2
North-Eastern Stroke Research Group, Khon Kaen University
3
Department of Medicine, Khon Kaen Hospital
4
Department of Brain, Bangkok Hospital, Rayong
5
Division of Ambulatory Medicine, Department of Medicine, Khon Kaen University
6
Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University, Thailand
*
Author to whom correspondence should be addressed.
Neurol. Int. 2015, 7(1), 5840; https://doi.org/10.4081/ni.2015.5840
Submission received: 30 January 2015 / Revised: 21 April 2015 / Accepted: 27 April 2015 / Published: 22 June 2015

Abstract

The burden of neurological disorders is high in developing countries. Real life data from neurologists as to how they practice in Thailand are limited in literature. Practices of neurologists in a university hospital clinical setting in Thailand were studied. A prospective study was performed at the ambulatory neurology clinic, Khon Kaen University Hospital, between 1 February and 31 October 2009. The following data were recorded: numbers of patients, characteristics of patients, consultation notes, and time spent for each patient. There were three neurologists, each of whom ran one afternoon clinic, once a week. There were 6137 visits during the 9 months, with an average of 681 visits per month. The total number of patients was 2834. The three most common diseases were cerebrovascular diseases (33%), epilepsy (16%), and movement disorders (non-Parkinson’s disease, 12%). Neurologists spent an average of 6.34 minutes per patient. In conclusion, neurologists in medical schools have limited time to take care of each patient. Several strategies are needed in medical education and neurology training to improve the quality of care.
Keywords: ambulatory; neurological disorders; outpatient; pragmatic study; clinical practice ambulatory; neurological disorders; outpatient; pragmatic study; clinical practice

Share and Cite

MDPI and ACS Style

Kongbunkiat, K.; Tiamkao, S.; Chotmongkol, V.; Chieawthanakul, P.; Kitcharoen, S.; Jitpimolmard, S.; Sawanyawisuth, K. A Real Life Clinical Practice of Neurologists in the Ambulatory Setting in Thailand: A Pragmatic Study. Neurol. Int. 2015, 7, 5840. https://doi.org/10.4081/ni.2015.5840

AMA Style

Kongbunkiat K, Tiamkao S, Chotmongkol V, Chieawthanakul P, Kitcharoen S, Jitpimolmard S, Sawanyawisuth K. A Real Life Clinical Practice of Neurologists in the Ambulatory Setting in Thailand: A Pragmatic Study. Neurology International. 2015; 7(1):5840. https://doi.org/10.4081/ni.2015.5840

Chicago/Turabian Style

Kongbunkiat, Kannikar, Somsak Tiamkao, Verajit Chotmongkol, Piyawan Chieawthanakul, Sarawut Kitcharoen, Suthipun Jitpimolmard, and Kittisak Sawanyawisuth. 2015. "A Real Life Clinical Practice of Neurologists in the Ambulatory Setting in Thailand: A Pragmatic Study" Neurology International 7, no. 1: 5840. https://doi.org/10.4081/ni.2015.5840

APA Style

Kongbunkiat, K., Tiamkao, S., Chotmongkol, V., Chieawthanakul, P., Kitcharoen, S., Jitpimolmard, S., & Sawanyawisuth, K. (2015). A Real Life Clinical Practice of Neurologists in the Ambulatory Setting in Thailand: A Pragmatic Study. Neurology International, 7(1), 5840. https://doi.org/10.4081/ni.2015.5840

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