Health Inequities in Access to Care for Multiple Sclerosis and Related Disorders

2021 ◽  
Vol 21 (24) ◽  
pp. 16-17
Author(s):  
Gina Shaw
2021 ◽  
pp. 135245852110053
Author(s):  
Emilio Portaccio ◽  
Mattia Fonderico ◽  
Bernhard Hemmer ◽  
Tobias Derfuss ◽  
Bruno Stankoff ◽  
...  

Background: The spread of Coronavirus disease-19 (COVID-19) poses unique challenges in the management of people with multiple sclerosis (PwMS). Objectives: To collect data about the impact of COVID-19 emergency on access to care for PwMS and on MS treatment practices. Methods: Between March and July 2020, the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS) promoted an online survey covering patient access to care, management of relapses and visits, disease-modifying therapy (DMT) and experience with COVID-19. Results: Three-hundred and sixty neurologists from 52 countries (68% from Europe) completed the survey. 98% reported COVID-19-related restrictions. Telemedicine was adopted to overcome the limited access to care and was newly activated (73%) or widely implemented (17%). 70% reported changes in DMT management. Interferons and glatiramer were considered safe. Dimethyl fumarate, teriflunomide and fingolimod were considered safe except for patients developing lymphopenia. No modifications were considered for natalizumab in 64%, cladribine in 24%, anti-CD20 in 22% and alemtuzumab in 17%; 18% (for alemtuzumab and cladribine) and 43% (for anti-CD20) considered postponing treatment. Conclusion: The ECTRIMS survey highlighted the challenges in keeping standards of care in clinical practice. Telemedicine clearly needs to be implemented. Gathering data on DMT safety will remain crucial to inform treatment decisions.


2015 ◽  
Vol 5 (2) ◽  
pp. 83-89 ◽  
Author(s):  
Kyriakos Souliotis ◽  
Elena Alexopoulou ◽  
Manto Papageorgiou ◽  
Anastasia Politi ◽  
Panagiota Litsa ◽  
...  

2021 ◽  
Vol 18 ◽  
Author(s):  
Casey J. Hannan ◽  
Timothy L. Ricks ◽  
Lorena Espinoza ◽  
Jane A. Weintraub

2007 ◽  
Vol 9 (3) ◽  
pp. 104-110 ◽  
Author(s):  
Janet P. Sutton ◽  
Claudia Schur ◽  
Jack Feldman ◽  
Tuula Tyry

This study was conducted to determine how people with multiple sclerosis (MS) who receive care from a comprehensive care center (CCC) fare in terms of access to care, satisfaction, and perceptions of quality compared to people who are not treated at one of these centers. With data from the North American Research Committee on MS (NARCOMS) Patient Registry as the sampling frame, we administered a mixed-mode survey to 2300 people with MS to gather information about their experiences in accessing health services. A response rate of 63% was obtained, for a total of 1403 respondents. About half of the respondents indicated that they sometimes or always received care from an MS CCC. Although no differences were noted in terms of disease severity and diagnostic history, findings indicated that people treated at MS CCCs had better access to health care services and perceived their health care experiences more positively than those who never received MS care from a CCC. Even though the results provide evidence that CCCs enhanced access to care, further research is necessary to understand which organizational elements (eg, service integration services, staff training) contributed most strongly to these experiences.


2021 ◽  
Vol 424 ◽  
pp. 117430
Author(s):  
D. Ferraro ◽  
P. Annovazzi ◽  
R. Lanzillo ◽  
M. Calabrese ◽  
R. Fantozzi ◽  
...  

2016 ◽  
Vol 22 (2_suppl) ◽  
pp. 9-17 ◽  
Author(s):  
Patrick Vermersch ◽  
Andreas Faller ◽  
Dominika Czarnota-Szałkowska ◽  
Bianca Meesen ◽  
Christoph Thalheim

Background: There is currently no known cure for multiple sclerosis (MS). Four stakeholders play a major role in MS: healthcare professionals, regulators, payers and patients. Objective: In Europe, patients are represented by the European Multiple Sclerosis Platform (EMSP), which aims to improve MS management and patients’ quality of life. Results: The EMSP has recently shown that there are major disparities in Europe in terms of access to care and treatment. Implementing the Code of Good Practice and a standardised MS nurse training may be useful in harmonising MS management across Europe. Additionally, the burden for novel therapeutic options to be approved by regulatory agencies has to decrease in order to provide faster access of treatment to patients. Data collection (e.g. national registers) also appears crucial to help research and shape the most effective policy in each country. Finally, people with MS should get appropriate (financial) support in order to complete their studies and find a job, as their active participation in society requires proper access to education and employment. Moreover, as they are the ones affected by MS, they seem to be best placed to represent themselves and their needs and should be consulted more often during decision-making processes by policy makers, regulators and payers.


1996 ◽  
Vol 22 (3) ◽  
pp. 207-215 ◽  
Author(s):  
H. Li ◽  
M. L. Cuzner ◽  
J. Newcombe
Keyword(s):  

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