Roick Christiane, Gärtner Anke, Heider Dirk, Angermeyer Matthias C
Universität Leipzig, Klinik und Poliklinik für Psychiatrie, Leipzig, Germany.
Psychiatr Prax. 2002 Oct;29(7):334-42. doi: 10.1055/s-2002-34658.
This paper reviews findings and problems of heavy users research.
The German- and English language literature about "heavy users" and relevant border areas was analyzed.
Heavy users are patients who consume a disproportionate share of medical services. The characteristics of heavy users are inhomogeneous. Social problems, denial of illness, non-compliance, comorbid personality disorders and substance misuse contribute significantly to heavy use. Future studies should define heavy use illness-related. More research is needed to clarify whether heavy use of special services is adequate to the patients situation.
Heavy users should be identified early, in order to offer them alternative services, which better fulfil the patients specific conditions and prevent an inadequate heavy use of expensive services.
本文回顾了重度使用者研究的结果与问题。
分析了德语和英语关于“重度使用者”及相关领域的文献。
重度使用者是指那些消耗了不成比例份额医疗服务的患者。重度使用者的特征并不一致。社会问题、否认患病、不依从、共病性人格障碍和物质滥用对重度使用有显著影响。未来的研究应根据疾病相关因素来定义重度使用。需要更多研究来阐明对特殊服务的重度使用是否适合患者的情况。
应尽早识别重度使用者，以便为他们提供能更好满足患者特定情况的替代服务，并防止对昂贵服务的不当重度使用。
