转诊至风湿病中心的类风湿关节炎患者的医疗服务利用情况：需求不平等，医疗服务也不平等？
Health care utilization among rheumatoid arthritis patients referred to a rheumatology center: unequal needs, unequal care?
作者信息
Jacobi C E, Triemstra M, Rupp I, Dinant H J, Van Den Bos G A
机构信息
Department of Social Medicine, Academic Medical Center, Amsterdam, The Netherlands.
出版信息
Arthritis Rheum. 2001 Aug;45(4):324-30. doi: 10.1002/1529-0131(200108)45:4<324::AID-ART344>3.0.CO;2-1.
OBJECTIVE
To quantify the utilization of health care by rheumatoid arthritis (RA) patients and to estimate the contribution of patient characteristics to the explanation of the use of care, in order to evaluate whether those in need of care actually receive care.
METHODS
A questionnaire survey and a clinical examination were conducted among patients with RA referred to a rheumatology center. Health care utilization was assessed for medical care, allied health care, psychosocial care, and home care. The influence of sociodemographic variables and clinical and health characteristics on health care utilization was assessed by means of logistic regression.
RESULTS
Multivariate analyses showed that, for all types of services, disease-related factors explained most of the utilization. However, some sociodemographic variables (age, sex, and living situation) were also related to the utilization of care.
CONCLUSION
Most patients received the care they needed. However, for the elderly with RA, problems in access to allied health care and psychosocial care exist.
目的
量化类风湿关节炎（RA）患者的医疗保健利用情况，并评估患者特征对解释医疗保健使用情况的贡献，以评估需要护理的患者是否实际获得了护理。
方法
对转诊至风湿病中心的RA患者进行问卷调查和临床检查。评估了医疗保健、联合医疗保健、心理社会护理和家庭护理的医疗保健利用情况。通过逻辑回归评估社会人口统计学变量以及临床和健康特征对医疗保健利用的影响。
结果
多变量分析表明，对于所有类型的服务，与疾病相关的因素解释了大部分的利用情况。然而，一些社会人口统计学变量（年龄、性别和生活状况）也与护理利用有关。
结论
大多数患者获得了他们所需的护理。然而，对于老年RA患者，在获得联合医疗保健和心理社会护理方面存在问题。
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