Epley’s Maneuver in Primary Care: A Quality Improvement Project

Abstract

Almost all health systems of the world are burning out of budgets, hence, activities need to be developed to save as much money as possible for health services. We chose a simple, effective and proven by research method ‘’Epley’s maneuvre (EM)’’ as a diagnosis and treatment of ‘’Benign Parosxysmal Positional Vertigo (BPPV)’’. We delivered training to primary care physicians and studied the effectiveness of the the treatment and the cost saved in this project. It was found that EM proved both highly effective treatment as well as saved a good sum of money along with other benefits, such as better job satisfaction, convenience for the patients, etc. Key Words Epley’s maneuvre, primary care, cost-effectiveness, ENT in primary care

Pilot study to evaluate a training programme for primary care physiotherapists in the assessment and management of benign paroxysmal positional vertigo

“…14,15,43 Training related to BPPV undertaken by general practitioners in the UK led to increased patient treatment choice, a reduced need for secondary care, improved cost efficiency, increased general practitioner confidence and reduced medication intervention. 44 This study supports the concept that other professionals, including physiotherapists, advanced clinical practitioners, first contact practitioners and audiologists, can assess and treat BPPV in primary care, be more cost effective and reduce the burden on general practitioner surgeries (which have been under significant pressures since the start of the coronavirus disease 2019 pandemic).…”