类风湿关节炎患者未满足的医疗需求：使用不足的迹象？
Unmet demands for health care among patients with rheumatoid arthritis: indications for underuse?
作者信息
Jacobi Catharina E, Rupp Ines, Boshuizen Hendriek C, Triemstra Mattanja, Dinant Huibert J, van den Bos Geertrudis A M
机构信息
Department of Medical Decision Making, Academic Medical Center, University of Amsterdam, The Netherlands.
出版信息
Arthritis Rheum. 2004 Jun 15;51(3):440-6. doi: 10.1002/art.20391.
OBJECTIVE
To assess the prevalence of unmet health care demands among rheumatoid arthritis (RA) patients, and to determine if these unmet demands indicate underuse.
METHODS
A total of 679 patients with RA participated in a questionnaire survey and clinical examination. Unmet health care demands and health care use were assessed for orthopedic care, allied health care, home care, and psychosocial care. Indications for underuse were determined by comparing health outcomes of patients with unmet health care demands and of health care users.
RESULTS
Of the 679 patients, 28.7% had an unmet demand for 1 of the 4 services: 13.4% for allied health care, 9.7% for orthopedic care, 9.4% for home care, and 6.2% for psychosocial care. Underuse of allied health care, home care and psychosocial care was observed.
CONCLUSION
Unmet demands for health care are frequent among RA patients. Most unmet demands indicate underuse. Health care professionals should therefore be more responsive to the demands of patients.
目的
评估类风湿关节炎（RA）患者未满足的医疗保健需求的患病率，并确定这些未满足的需求是否表明医疗服务利用不足。
方法
共有679例RA患者参与了问卷调查和临床检查。对骨科护理、联合健康护理、家庭护理和心理社会护理的未满足医疗保健需求和医疗服务利用情况进行了评估。通过比较有未满足医疗保健需求的患者和医疗服务使用者的健康结果来确定利用不足的指征。
结果
在679例患者中，28.7%对4项服务中的1项有未满足的需求：联合健康护理为13.4%，骨科护理为9.7%，家庭护理为9.4%，心理社会护理为6.2%。观察到联合健康护理、家庭护理和心理社会护理存在利用不足的情况。
结论
RA患者中医疗保健需求未得到满足的情况很常见。大多数未满足的需求表明医疗服务利用不足。因此，医疗保健专业人员应更积极地响应患者的需求。
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