Status quo of epilepsy management in Chinese community and international experience_Journal of Epilepsy

Authors：

LUAN Chao ¹ , ZHANG Zhihan ¹ , LIU Jiaqi ² , SU Jing ¹ ,  LI Qifu ³

1. International College of Public Health and Total Health, Hainan Medical College, Haikou 5711992, China;
2. First Clinical College of Hainan Medical College, Haikou 571199, China;
3. Department of Neurology, First Affiliated Hospital of Hainan Medical College, Haikou 570102, China;

Corresponding author：

LI Qifu, Email: lee-chief@163.com

Keywords：

Epilepsy; Community management; International experience; Reference; Review literature

DOI：

10.7507/2096-0247.202401007

Video：

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To understand the current situation of community epilepsy management in China, summarize the experience of international community epilepsy management, and provide reference for strengthening community epilepsy management in China. Summarize the current situation of epilepsy development in China, summarize and analyze the international experience of community epilepsy management in the United States, Australia, Britain and other countries, as well as the reference significance for domestic community epilepsy management. According to the evaluation criteria of community epilepsy management, it is suggested that the Chinese government should increase its support, formulate various strategic objectives, strengthen publicity and health education, improve patients' self-management support, explore the prevention and control mode of promoting epilepsy management in urban and rural communities, strengthen the training of medical service teams and design a reasonable referral system.

Citation： LUAN Chao, ZHANG Zhihan, LIU Jiaqi, SU Jing, LI Qifu. Status quo of epilepsy management in Chinese community and international experience. Journal of Epilepsy, 2024, 10(2): 118-122. doi: 10.7507/2096-0247.202401007 Copy

1.	Fisher RS, Boas WVE, Blume W, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia, 2005, 46(4): 470-472.
2.	Trinka E, Kwan P, Lee BI, et al. Epilepsy in Asia: disease burden, management barriers, and challenges. Epilepsia, 2019, 60: 7-21.
3.	Ding D, Zhou D, Sander J W, et al. Epilepsy in China: major progress in the past two decades. The Lancet Neurology, 2021, 20(4): 316-326.
4.	World Health Organization. Epilepsy: a public health imperative. 2019.
5.	王文志, 戴秀英. WHO"癫痫社会控制"方案的扩展性试验研究. 中国神经精神疾病杂志, 1993, 19(1): 16-19.
6.	Wang W, Wu J, Dai X, et al. Global campaign against epilepsy: assessment of a demonstration project in rural China. Bulletin of the World Health Organization, 2008, 86(12): 964-969.
7.	Liu L, Zhang Q, Yao Z, et al. The operational model of a network for managing patients with convulsive epilepsy in rural West China. Epilepsy & Behavior, 2010, 17(1): 75-81.
8.	Schachter SC, Alsgaard K. The Management of epilepsy: considerations for managed healthcare decision-makers. Disease Management & Health Outcomes, 1997, 2(4): 163-177.
9.	Bacci J L, Zaraa S, Stergachis A, et al. Community pharmacists’ role in caring for people living with epilepsy: a scoping review. Epilepsy & Behavior, 2021, 117: 107850.
10.	Kobau R, Price PH, Giles HW, et al. Centers for disease control and prevention managing epilepsy well network. Epilepsy & Behavior, 2010, 19(3): 216-217.
11.	Escoffery C, McGee R, Bidwell J, et al. A review of mobile apps for epilepsy self-management. Epilepsy & Behavior, 2018, 81: 62-69.
12.	Shegog R, Braverman L, Hixson JD. Digital and technological opportunities in epilepsy: toward a digital ecosystem for enhanced epilepsy management. Epilepsy & Behavior, 2020, 102: 106663.
13.	Sajatovic M, Needham K, Colón-Zimmermann K, et al. The Community-targeted Self-management of Epilepsy and Mental Illness (C-TIME) initiative: a research, community, and healthcare administration partnership to reduce epilepsy burden. Epilepsy & Behavior, 2018, 89: 175-180.
14.	Lavin B, Gray CL, Brodie M. Telemedicine and epilepsy care. Neurologic Clinics, 2022, 40(4): 717-727.
15.	Donahue MA, Herman ST, Dass D, et al. Establishing a learning healthcare system to improve health outcomes for people with epilepsy. Epilepsy & Behavior, 2021, 117: 107805.
16.	Peterson K, LaRoche S, Cummings T, et al. Addressing the epilepsy surgery gap: impact of community/tertiary epilepsy center collaboration. Epilepsy & Behavior Reports, 2020, 14: 100398.
17.	White P. Structured management in primary care of patients with epilepsy. The British Journal of General Practice, 1996, 46(402): 3.
18.	Minshall I, Smith D. The development of a city-wide epilepsy register. Seizure, 2006, 15(2): 93-97.
19.	Wojewodka G, McKinlay A, Ridsdale L. Best care for older people with epilepsy: a scoping review. Seizure, 2021, 85: 70-89.
20.	Stephen LJ, Harden C, Tomson T, et al. Management of epilepsy in women. The Lancet Neurology, 2019, 18(5): 481-491.
21.	Rapport F, Hutchinson K, Herkes GK, et al. Determining the role and responsibilities of the Australian epilepsy nurse in the management of epilepsy: a study protocol. BMJ open, 2021, 11(1): e043553.
22.	Pugh JD, McCoy K, Needham M, et al. Evaluation of an Australian neurological nurse‐led model of postdischarge care. Health & Social Care in the Community, 2022, 30(4): e962-e973.
23.	Hutchinson K, Herkes G, Shih P, et al. Identification and referral of patients with refractory epilepsy from the primary to the tertiary care interface in New South Wales, Australia. Epilepsy & Behavior, 2020, 111: 107232.
24.	Carrizosa J, Braga P, Albuquerque M, et al. Epilepsy for primary health care: a cost‐effective Latin American E‐learning initiative. Epileptic Disorders, 2018, 20(5): 386-395.
25.	Singh G, Sharma M, Krishnan A, et al. Models of community-based primary care for epilepsy in low-and middle-income countries. Neurology, 2020, 94(4): 165-175.
26.	Chu C, Roxas N, Aguocha CM, et al. Integrating mental health into primary care: evaluation of the Health Action for Psychiatric Problems In Nigeria including Epilepsy and SubstanceS (HAPPINESS) pilot project. BMC Health Services Research, 2022, 22(1): 333.
27.	Pickrell WO, Elwyn G, Smith PEM. Shared decision-making in epilepsy management. Epilepsy & Behavior, 2015, 47: 78-82.
28.	Mayor R, Gunn S, Reuber M, et al. Experiences of stigma in people with epilepsy: a meta-synthesis of qualitative evidence. Seizure, 2022, 94: 142-160.
29.	国务院办公厅发布《关于促进“互联网+医疗健康”发展的意见》. 医学信息学杂志, 2018, 39(05): 94.
30.	韩云, 徐宇红, 叶新华, 等. “互联网+”慢性病管理模式在2型糖尿病患者中的应用. 中华护理杂志, 2018, 53(07): 789-794.
31.	Labiner DM , Bagic AI , Herman ST , et al. Essential services, personnel, and facilities in specialized epilepsy centers--revised 2010 guidelines. Epilepsia, 2010, 51(11): 2322-2333.

1. Fisher RS, Boas WVE, Blume W, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia, 2005, 46(4): 470-472.
2. Trinka E, Kwan P, Lee BI, et al. Epilepsy in Asia: disease burden, management barriers, and challenges. Epilepsia, 2019, 60: 7-21.
3. Ding D, Zhou D, Sander J W, et al. Epilepsy in China: major progress in the past two decades. The Lancet Neurology, 2021, 20(4): 316-326.
4. World Health Organization. Epilepsy: a public health imperative. 2019.
5. 王文志, 戴秀英. WHO"癫痫社会控制"方案的扩展性试验研究. 中国神经精神疾病杂志, 1993, 19(1): 16-19.
6. Wang W, Wu J, Dai X, et al. Global campaign against epilepsy: assessment of a demonstration project in rural China. Bulletin of the World Health Organization, 2008, 86(12): 964-969.
7. Liu L, Zhang Q, Yao Z, et al. The operational model of a network for managing patients with convulsive epilepsy in rural West China. Epilepsy & Behavior, 2010, 17(1): 75-81.
8. Schachter SC, Alsgaard K. The Management of epilepsy: considerations for managed healthcare decision-makers. Disease Management & Health Outcomes, 1997, 2(4): 163-177.
9. Bacci J L, Zaraa S, Stergachis A, et al. Community pharmacists’ role in caring for people living with epilepsy: a scoping review. Epilepsy & Behavior, 2021, 117: 107850.
10. Kobau R, Price PH, Giles HW, et al. Centers for disease control and prevention managing epilepsy well network. Epilepsy & Behavior, 2010, 19(3): 216-217.
11. Escoffery C, McGee R, Bidwell J, et al. A review of mobile apps for epilepsy self-management. Epilepsy & Behavior, 2018, 81: 62-69.
12. Shegog R, Braverman L, Hixson JD. Digital and technological opportunities in epilepsy: toward a digital ecosystem for enhanced epilepsy management. Epilepsy & Behavior, 2020, 102: 106663.
13. Sajatovic M, Needham K, Colón-Zimmermann K, et al. The Community-targeted Self-management of Epilepsy and Mental Illness (C-TIME) initiative: a research, community, and healthcare administration partnership to reduce epilepsy burden. Epilepsy & Behavior, 2018, 89: 175-180.
14. Lavin B, Gray CL, Brodie M. Telemedicine and epilepsy care. Neurologic Clinics, 2022, 40(4): 717-727.
15. Donahue MA, Herman ST, Dass D, et al. Establishing a learning healthcare system to improve health outcomes for people with epilepsy. Epilepsy & Behavior, 2021, 117: 107805.
16. Peterson K, LaRoche S, Cummings T, et al. Addressing the epilepsy surgery gap: impact of community/tertiary epilepsy center collaboration. Epilepsy & Behavior Reports, 2020, 14: 100398.
17. White P. Structured management in primary care of patients with epilepsy. The British Journal of General Practice, 1996, 46(402): 3.
18. Minshall I, Smith D. The development of a city-wide epilepsy register. Seizure, 2006, 15(2): 93-97.
19. Wojewodka G, McKinlay A, Ridsdale L. Best care for older people with epilepsy: a scoping review. Seizure, 2021, 85: 70-89.
20. Stephen LJ, Harden C, Tomson T, et al. Management of epilepsy in women. The Lancet Neurology, 2019, 18(5): 481-491.
21. Rapport F, Hutchinson K, Herkes GK, et al. Determining the role and responsibilities of the Australian epilepsy nurse in the management of epilepsy: a study protocol. BMJ open, 2021, 11(1): e043553.
22. Pugh JD, McCoy K, Needham M, et al. Evaluation of an Australian neurological nurse‐led model of postdischarge care. Health & Social Care in the Community, 2022, 30(4): e962-e973.
23. Hutchinson K, Herkes G, Shih P, et al. Identification and referral of patients with refractory epilepsy from the primary to the tertiary care interface in New South Wales, Australia. Epilepsy & Behavior, 2020, 111: 107232.
24. Carrizosa J, Braga P, Albuquerque M, et al. Epilepsy for primary health care: a cost‐effective Latin American E‐learning initiative. Epileptic Disorders, 2018, 20(5): 386-395.
25. Singh G, Sharma M, Krishnan A, et al. Models of community-based primary care for epilepsy in low-and middle-income countries. Neurology, 2020, 94(4): 165-175.
26. Chu C, Roxas N, Aguocha CM, et al. Integrating mental health into primary care: evaluation of the Health Action for Psychiatric Problems In Nigeria including Epilepsy and SubstanceS (HAPPINESS) pilot project. BMC Health Services Research, 2022, 22(1): 333.
27. Pickrell WO, Elwyn G, Smith PEM. Shared decision-making in epilepsy management. Epilepsy & Behavior, 2015, 47: 78-82.
28. Mayor R, Gunn S, Reuber M, et al. Experiences of stigma in people with epilepsy: a meta-synthesis of qualitative evidence. Seizure, 2022, 94: 142-160.
29. 国务院办公厅发布《关于促进“互联网+医疗健康”发展的意见》. 医学信息学杂志, 2018, 39(05): 94.
30. 韩云, 徐宇红, 叶新华, 等. “互联网+”慢性病管理模式在2型糖尿病患者中的应用. 中华护理杂志, 2018, 53(07): 789-794.
31. Labiner DM , Bagic AI , Herman ST , et al. Essential services, personnel, and facilities in specialized epilepsy centers--revised 2010 guidelines. Epilepsia, 2010, 51(11): 2322-2333.

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Status quo of epilepsy management in Chinese community and international experience

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