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The Journal of the American Board of Family Practice 18:563-566 (2005)
© 2005 American Board of Family Practice


Brief Report

Patient Satisfaction with Migraine Management by Family Physicians

Anne D. Walling, MB, ChB, Douglas C. Woolley, MD, MPH, Craig Molgaard, PhD, MPH and K. James Kallail, PhD

From the Departments of Family and Community Medicine (ADW, DCW), Preventive Medicine and Public Health (CM), and Internal Medicine (KJK), University of Kansas School of Medicine, Wichita, KS

Correspondence: Corresponding author: Dr. Anne D. Walling, University of Kansas School of Medicine, Office of Faculty Development, 1010 N. Kansas, Wichita, KS 67214-3124 (e-mail: awalling{at}kumc.edu)

Over 70% of the estimated 5 million office visits per year for migraine headache are to family physicians. Both the number of visits and proportion of migraine patients seeking medical care are increasing rapidly. Patient satisfaction with migraine care by primary care physicians is reported to be low but most data are obtained from patients referred to subspecialists or entered in clinical trials. We surveyed patients who consulted family physicians in 10 Kansas practices during 2002 to assess patient satisfaction and investigate any differences between satisfied and unsatisfied migraine patients. Of our 447 respondents, 74% were "satisfied" or "very satisfied" with migraine care by family physicians. Dissatisfied patients were significantly more likely to report moderate or severe migraine-related disability and less likely to use triptans or to have most medications paid by insurance. Dissatisfied patients were twice as likely to have discontinued taking triptans than satisfied patients. Patient satisfaction with migraine treatment in family practice is substantially higher than generally reported. Statistically significant differences exist between satisfied and dissatisfied patients.








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Copyright © 2005 by the American Board of Family Medicine.