RELATIONSHIP BETWEEN HEADACHES DIAGNOSED BY TELENEUROLOGY PROCESS AND FAMILY DYSFUNCTION AFFORDABLES BY FAMILY MEDICINE

The use of Teleneurology in the population attending the Family Health Center (CESFAM) Hualpencillo has helped to address and resolve without neurological problems and without the need to go to the referral hospital. The casuistry in patients treated in the period from September 2015 to January 2016 shows that among all medical attentions made by this way, a 65,4% are headaches. The aim of our study was to describe family and psychosocial factors associated with the resence of headache, and to project the possibility of the Family Doctor/Phisician intervention in this area. Methodology: Before the specialist care, a survey was applied to all patients seen by Teleneurology between September2015 and January 2016 whose main diagnosis was headache, asking classical triggering factors for the disease characteristics, and also mood and family relationships. Results: These elements were explored in 53 patients with chronic headache, where the main trigger were home problems and particularly those associated with dysfunctional relationships among its members with a 71,6%. Of these patients only 44,7 % had been previously treated of this situation. Conclusions: Many of chronic headaches that are referred to specialist can be prevented in PHC with a family and bio-psycho-social approach. In this area the family doctor has a fundamental role in the diagnosis and management of crises linked to the family, thus improving resoluteness and quality of care in primary health care( PHC)