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Extending neurologic services to rural children

Department of Neurology, University of Kentucky, and the Veterans Administration Hospital, Lexington, Kentucky.

The University of Kentucky provides neurologic services to rural children by a traveling clinic. In 1978,438 children (including 231 new patients) made 646 clinic visits. The primary diagnoses were appropriate for a neurology clinic; epilepsy was the most common (74 of 231) among new patients. A community survey of school-age children found the clinic serving 45 percent of "active epileptics." Clinic patients had a higher seizure frequency and came from a more disadvantaged background than nonclinic patients. These data show that an urban-based traveling clinic can identify and care for rural children with neurologic disorders.

Dr. Baumann's address is Department of Neurology, MS 109, University of Kentucky Medical Center, Lexington, KY 40506.

Dr. Baumann is currently on leave to the Section of Epidemiology, NINCDS, Bethesda, Maryland.

This project is supported by funds from the Growth and Development Branch of the Kentucky Bureau of Health Services.

Accepted for publication February 16, 1979.