Whitaker M J
Didsbury Medical Centre, Manchester, England.
Pharmacoeconomics. 1998;14 Suppl 2:5-10. doi: 10.2165/00019053-199814002-00002.
Upper gastrointestinal (UGI) disease represents a significant part of the primary care physician's workload and is ultimately responsible for a major portion of the costs relating to his or her drug prescribing. This paper outlines the scale of the problem and the possibility of a structured management plan for UGI disease. Although this type of strategy is not new, the International Gastro Primary Care Group (IGPCG) has approached it from a practical standpoint that addresses the concerns of general practitioners and the fears and anxieties of patients. In addition, the direct representation of this model with a cost-effective programme is the first opportunity to develop strategies, in primary care, for testing a protocol for the management of UGI disease. The approach is aimed at the primary care setting and is adaptable for use in different cultural groups and healthcare systems.
上消化道（UGI）疾病在基层医疗医生的工作量中占很大一部分，并且最终要对与其开药相关的大部分费用负责。本文概述了该问题的规模以及对上消化道疾病进行结构化管理计划的可能性。尽管这种策略并不新鲜，但国际胃肠病基层医疗小组（IGPCG）是从实际角度来处理这个问题的，该角度既解决了全科医生的担忧，也顾及了患者的恐惧和焦虑。此外，将这种模式直接与一个具有成本效益的项目相结合，这是在基层医疗中制定策略以测试上消化道疾病管理方案的首个契机。该方法针对基层医疗环境，并且适用于不同文化群体和医疗保健系统。
