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Table 2 Proposals for the ideal approach to MS

From: Social value of a set of proposals for the ideal approach of multiple sclerosis within the Spanish National Health System: a social return on investment study

Analysis area

Number

Proposal name

Diagnosis

1

Training in MS and its symptoms both for non-specialist MS neurology and for healthcare professionals from other areas related to MS patients.

2

Coordination between primary care medicine and neurology, through direct contact channels.

3

Decrease in waiting lists in the neurology speciality.

4

Quick access to the magnetic resonance imaging test.

5

Visit of diagnostic test results within a maximum 30 days.

6

Early visit with neurology after diagnosis.

Relapsing-remitting MS

7

Coordination between primary care medicine and neurology, through direct contact channels.

8

Protocol on the follow-up of patients according to the criteria of disease severity.

9

Magnetic resonance imaging performed at least once a year.

10

Universal access to monographic consultations and/or multidisciplinary units of MS throughout the National Health System.

11

Access to disease modifying treatment for patients with RRMS not currently treated.

12

Education about healthy habits for patients through hospital nursing specialised in MS.

Progressive forms of MS

13

Coordination between primary care medicine and other specialists involved in the follow-up of the disease, through direct contact routes.

14

Care and treatment of collateral symptoms and education for their management.

15

Access to treatment for patients with PFMS not currently being treated.

16

Universal access to comprehensive rehabilitation.

17

Improvement in social protection, ensuring direct contact with social work.

18

Research on the pathogenesis of progression at a clinical and basic level (neuroprotection and remyelination). a

  1. Abbreviations: MS multiple sclerosis, RRMS relapsing-remitting MS, PFMS progressive forms of MS, which include both primary progressive MS and secondary progressive MS.
  2. aDespite the consensus of the Multidisciplinary Working Group on the inclusion of this proposal in the ideal approach to MS in the SNHS, the impossibility of estimating neither its investment nor its potential return has led to removing it from the calculation of the social return that such an approach would entail after its hypothetical implementation