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慢性疼痛与医疗服务的使用

Chronic pain and the use of health services.

作者信息

James F R, Large R G

机构信息

Department of Psychiatry and Behavioural Science, University of Auckland School of Medicine.

出版信息

N Z Med J. 1992 May 27;105(934):196-8.

PMID:1625825
Abstract

The range and extent of health consulting by people who have chronic pain attending a specialist clinic was assessed. Forty-two subjects attending Auckland Hospital pain clinic completed a questionnaire about their use of conventional and complementary health services for their pain in the previous 12 months. The general practitioner was the most frequently consulted health professional, visited, on average, 12.9 times per annum; compared with the expected rate of 4.2 consultations per annum. Medical specialists and health professionals had been consulted more frequently than complementary specialists. Twenty-five percent of the sample had been admitted to hospital for investigations relating to their pain in the previous year. On average, these patients spent $1333.63 per annum of their personal funds on health care. The cost of health care for chronic pain is significant both for the individual and the state and highlights the need for intensive pain management programmes.

摘要

对前往专科诊所就诊的慢性疼痛患者的健康咨询范围和程度进行了评估。42名前往奥克兰医院疼痛诊所就诊的受试者完成了一份关于他们在过去12个月中为缓解疼痛而使用传统和补充健康服务情况的问卷。全科医生是咨询最频繁的医疗专业人员,平均每年就诊12.9次;而预期每年的就诊率为4.2次。医学专科医生和医疗专业人员的咨询频率高于补充医学专科医生。25%的样本在过去一年因与疼痛相关的检查而住院。平均而言,这些患者每年自费花费1333.63美元用于医疗保健。慢性疼痛的医疗保健成本对个人和国家而言都很高,凸显了强化疼痛管理计划的必要性。

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