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Abstract Details

Autoimmune encephalitis in the Philippines: a scoping review on the treatment gaps, challenges, and current state of care
Health Care Disparities
P1 - Poster Session 1 (9:00 AM-5:00 PM)
214

We reviewed the current health service delivery for individuals with Autoimmune Encephalitis (AE) in the Philippines and to identify the gaps and challenges in its management.

Autoimmune encephalitis is a rare non-infectious immune-mediated inflammatory disorder of the brain parenchyma commonly presenting with a variety of neurologic findings. Its recent discovery led to advances in laboratory and clinical practice leading to heterogeneity of data creating knowledge and practice gaps. Recent advances in the diagnosis and management are cost-prohibitive and have limited availability, especially in developing countries creating a disparity in healthcare delivery.
We conducted a scoping review of pertinent literature AE in the Philippines using the Preferred Reporting Items for Systematic reviews and Meta-analysis (PRISMA) guidelines. We extracted data on epidemiology, legislation, health financing, information systems, pharmacotherapy, and healthcare services related to the management of AE in the local setting.

The epidemiology of AE is still unknown which can be attributed to the low number of research in the country and its limited recognition in the general population. Out-of-pocket expenses contribute to much of the healthcare expenditure due to limited government-led programs to reduce the financial burden. The access to diagnostic examinations such as magnetic resonance imaging, electroencephalogram, and antibody testing is limited by the geographic distribution of the facilities and costs. The acute and long-term management of AE are cost-prohibitive, not readily available, and not commonly covered by public and/or private insurance.

There are significant treatment gaps in the care of individuals with AE in the Philippines in terms of disease recognition, resource allocation, access to satisfactory diagnostic evaluation, and provision of prognosis-changing therapeutics. We proposed core strategies that can address these treatment gaps such as increasing awareness, improving access to health resources, adequate healthcare financing, and availability of support systems.

Authors/Disclosures

PRESENTER
No disclosure on file
Christian Wilson Turalde No disclosure on file
Roland Dominic Jamora (Philippine General Hospital) Roland Dominic Jamora has received personal compensation in the range of $500-$4,999 for serving as a Consultant for torrent. Roland Dominic Jamora has received research support from CCXDP.