The Journal of Headache and Pain

Official Journal of the "European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

The Journal of Headache and Pain Cover Image
Open Access

Health-care systems for headache: patching the seam between primary and specialist care

  • Timothy J. Steiner
The Journal of Headache and PainOfficial Journal of the Italian Society for the Study of Headaches4:00014


Health services are rarely highly successful in meeting the needs of people with headache disorders, who everywhere are low in the priority queue. Taking the UK as an example within Europe, this paper briefly reviews the present organisation of headache services, and proposes change. The solution does not appear to lie in expanding specialist headache centres in secondary care to which most people with needs fail to gain access. A three-tier system with emphasis on primary care will, it is argued, deliver care more cost-effectively and more responsively to patients' needs.

Key words EvaluationHeadacheHealth careNeeds assessmentPrimary careSecondary care



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