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In a new study by The Times Of India, researchers have found that in the United States, more than a third of doctors and other healthcare professionals in states with more than 5,000 patients, as well as those with a population of more than 1 million, do not consider epilepsy to be a chronic illness and are less likely to recommend a neurologic service to patients.
The authors, from Columbia University’s Neurology Department, analyzed data from the National Electronic Health Record of the American Society for Neurology (ASN) and the National Neurological Disorders Society (NEDS), the leading source of data on neurologic disorders in the U.S.
The paper, titled “Disappointing findings about neurologic services in states without enough neurologists,” was published on Tuesday in The Journal of Neuroscience.
It also is being published in a new edition by The Neurosciences.
It is the first study to show that more than half of physicians and other health care professionals are not familiar with the disorder.
They also did not offer enough neurological services to patients, even though they did prescribe many of the drugs they were prescribing, the authors say.
The survey found that nearly three-quarters of physicians were unaware of the condition, and almost half were not aware of the extent to which their patients had received a neurological evaluation or treatment.
The researchers identified 5,988 neurologists and 6,972 neurologists, which is a ratio of nearly 20:1, according to the paper.
The lack of neurologists in states that are more than 500,000 people and less than 1,000,000 residents could be attributed to poor infrastructure, inadequate staffing and training, and an inadequate network of neurologist referral centers, the paper said.
There are more neurologists than there are physicians, so that’s a significant issue, the study said.
The authors believe that states with a shortage of neurology doctors need to address this, to increase access and to reduce the burden of neurologic disease in a state, they wrote.
While more than two-thirds of neurologically healthy people, including adults, have a positive neurologic exam, nearly half of those with epilepsy do not, and only a third have a diagnosis of epilepsy, the researchers said.
About 3.5 million people in the country have epilepsy, and about a quarter of those, about 1.3 million, have the condition and the condition is not diagnosed.
About one-third of people with epilepsy have a neurological examination that shows the disorder, the report said.
“It’s time for neurologists to step up to the plate and start providing the best care to patients with epilepsy,” said Dr. Mark Bittman, chief medical officer at ASN and the senior author of the study.
The report does not specifically address the availability of a neurology center, but the authors said they were surprised to find that about 20% of the states did not have a central or central office to refer patients for neurologic care.
This finding is particularly important because, in the past, the federal government has made it easier for states to create central offices for neurology care, according the report.
This new study shows that states can be proactive in providing better services to their patients and help patients in need.
States are also having trouble recruiting and retaining enough neurologist doctors, and the number of neurologys in those states has fallen by 40% since the late 1990s, the article said.
States that are having difficulty recruiting and keeping enough neurology physicians are more likely to be located in the South and Midwest, the scientists wrote.
In the South, where there are a lot of African-American and Hispanic populations, states with lower populations and a high proportion of rural residents tend to have fewer neurologists per capita, the survey said.
In addition, the findings show that states have a higher proportion of neurologies that are located in metropolitan areas, such as Los Angeles, Chicago, New York City, and Washington, D.C., and the more rural areas of the South.