MIGRAINE - PATTERNS OF HEALTH-CARE USE

Data on use of healthcare from several sources reflect low rates of co nsultation among migraineurs, many of whom are severely disabled, and Limited detection of migraine among those seeking care. Most migraineu rs who seek medical care are motivated by the need for pain relief and are initially seen by a general practitioner. Use of healthcare seems to follow a pattern, with a maximum use of services and technology wi thin the first year, followed by a precipitous decrease over the ensui ng years. The use of services appears to be concentrated among a small proportion of the migraineurs who seek care. in total volume, the mig raineur uses two to five times more healthcare services than nonmigrai neurs, reflecting the contribution of comorbidities and help-seeking b ehavior. Use of emergency departments and sophisticated diagnostic tes ting appears to be greater in the United States than in other countrie s. Hospitalization of the migraineur is uncommon and remains costly.