Treatment gaps and challenges in epilepsy care in the Philippines

Moalong, Kevin Michael C.; Espiritu, Adrian I.; Fernandez, Marc Laurence L.; Jamora, Roland Dominic G.

doi:10.1016/j.yebeh.2020.107491

Cited by 21 publications

(15 citation statements)

References 8 publications

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“…This inadequate coverage of government-led health care financing led the majority of Filipinos to spend from their own pockets. These findings are in line with the recent studies addressing the gaps in the management of different neurologic diseases (Parkinson's disease, primary brain tumor, multiple sclerosis, epilepsy, stroke) in the Philippines (23,33,(42)(43)(44).…”

Section: Discussionsupporting

confidence: 88%

Autoimmune Encephalitis in the Philippines: A Scoping Review on the Treatment Gaps, Challenges, and Current State of Care

2022

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ObjectivesWe reviewed the current health service delivery for individuals with Autoimmune Encephalitis (AE) in the Philippines and to identify the gaps and challenges in its management.MethodologyWe conducted a scoping review of pertinent literature AE in the Philippines using the Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) guidelines. We extracted data on epidemiology, legislation, health financing, information systems, pharmacotherapy, and healthcare services related to the management of AE in the local setting.DiscussionThe epidemiology of AE is still unknown. Out-of-pocket expenses contribute to most of the healthcare expenditure despite government-led programs to reduce the financial burden. The access to diagnostic examinations such as magnetic resonance imaging, electroencephalogram, and antibody testing is limited by the geographic distribution of the facilities and costs. The acute and long-term management of AE are cost-prohibitive and are not readily available. There are significant treatment gaps in the care of individuals with AE in the Philippines in terms of disease recognition, resource allocation, access to satisfactory diagnostic evaluation, and provision of prognosis-changing therapeutics. We proposed core strategies that can address these treatment gaps such as increasing awareness, improving access to health resources, adequate healthcare financing, and availability of support systems.

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Section: Discussionsupporting

confidence: 88%

Autoimmune Encephalitis in the Philippines: A Scoping Review on the Treatment Gaps, Challenges, and Current State of Care

2022

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“…Earlier studies on Parkinson's disease, multiple sclerosis and epilepsy identify health financing and proper allocation and availability of therapeutics as gaps in treatment for these neurologic diseases in the Philippines [35,47,48]. Neuro-oncologic diseases may share the same issues, but differs significantly in terms of prognosis -malignant CNS neoplasms have dismal survival rates if diagnosis and treatment are delayed [9].…”

Section: Discussionmentioning

confidence: 99%

Neuro-oncology in the Philippines: a scoping review on the state of medical practice, deterrents to care and therapeutic gaps

Mondia¹,

Espiritu²,

Batara³

et al. 2021

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Background: Neoplasms of the brain and spine are relatively uncommon compared to breast, lung and gastrointestinal tumours, which occur at higher rates in the Asian population. Updated guidelines in diagnosis and treatment of neuro-oncologic diseases recommend advanced molecular-based precision-medicine; thus the need for increasingly individualised regimens. It is, therefore, necessary to determine whether there are areas of improvement in the provision of care to these patients, especially in low-to middleincome economies like the Philippines. Methods:In this study, we identified gaps in the delivery of medical care to Filipino patients with tumours of the central nervous system. We performed a scoping review on the available literature on clinical experience with treatment of neuro-oncologic cases from the Philippines and performed qualitative analysis viewed through the lens of the existing healthcare system. Results:The medical practice of neuro-oncology in the Philippines lacks robust local data on epidemiology and treatment outcomes. There are existing legislative frameworks to support adequate healthcare delivery and financing to brain tumour patients. However, inequities in the geographic distribution of infrastructure, manpower and medications are roadblocks for accessibility to neuro-oncologic services like specialised molecular markers, neurosurgical procedures, sustained chemotherapy and radiation therapy centres. Conclusion:There are significant treatment gaps in the care of neuro-oncologic patients in the Philippines that need to be addressed. Early detection and initiation of prognosischanging therapeutics through reduction of out-of-pocket expenses, access to readily available diagnostic tools and sustainability of management regimens are the main areas that necessitate strengthened partnership between the public and private sectors of Philippine society.

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“…Earlier studies on Parkinson's disease [8], multiple sclerosis [9], epilepsy [10] and primary CNS tumours [11] have identified health financing, access to diagnostic services and affordable medications, and inequitable distribution of healthcare resources as gaps in the treatment of these neurological disorders in the Philippines. Our study showed similar issues are faced by patients with BM and TBM.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies on neurologic disorders such as Parkinson's disease [8], multiple sclerosis [9], epilepsy [10] and central nervous system (CNS) tumours [11] reported challenges arising from inadequate health resource allocation and treatment for these conditions in the Philippine healthcare setting. Although it is likely that provision of care for patients with BM faces similar issues, distinctive features of this condition such as its infectious nature, clinical course, treatment, long-term sequelae and prevention methods pose unique challenges in terms of health services delivery compared to the other neurological diseases.…”

mentioning

confidence: 99%

Current status and challenges in the care of patients with bacterial meningitis in the Philippines: A scoping review

Ocampo

Espiritu

Jamora

2022

Tropical Med Int Health

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Treatment gaps and challenges in epilepsy care in the Philippines

Cited by 21 publications

References 8 publications

Autoimmune Encephalitis in the Philippines: A Scoping Review on the Treatment Gaps, Challenges, and Current State of Care

Autoimmune Encephalitis in the Philippines: A Scoping Review on the Treatment Gaps, Challenges, and Current State of Care

Neuro-oncology in the Philippines: a scoping review on the state of medical practice, deterrents to care and therapeutic gaps

Current status and challenges in the care of patients with bacterial meningitis in the Philippines: A scoping review

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