初级保健咨询者肩部疼痛的费用：荷兰的一项前瞻性队列研究。
Costs of shoulder pain in primary care consulters: a prospective cohort study in The Netherlands.
作者信息
Kuijpers Ton, van Tulder Maurits W, van der Heijden Geert J M G, Bouter Lex M, van der Windt Daniëlle A W M
机构信息
Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands.
出版信息
BMC Musculoskelet Disord. 2006 Nov 1;7:83. doi: 10.1186/1471-2474-7-83.
BACKGROUND
Shoulder pain is common in primary care, and has an unfavourable outcome in many patients. Information on the costs associated with health care use and loss of productivity in patients with shoulder pain is very scarce. The objective of this study was to determine shoulder pain related costs during the 6 months after first consultation in general practice
METHODS
A prospective cohort study consisting of 587 patients with a new episode of shoulder pain was conducted with a follow-up period of 6 months. Data on costs were collected by means of a cost diary during 6 months.
RESULTS
84% of the patients completed all cost diaries. The mean consumption of direct health care and non-health related care was low. During 6 months after first consultation for shoulder pain, the mean total costs a patient generated were 689 euro. Almost 50% of this total concerned indirect costs, caused by sick leave from paid work. A small proportion (12%) of the population generated 74% of the total costs.
CONCLUSION
The total costs in the 6 months after first consultation for shoulder pain in primary care, mostly generated by a small part of the population, are not alarmingly high.
背景
肩部疼痛在初级保健中很常见，且许多患者预后不佳。关于肩部疼痛患者医疗保健使用成本及生产力损失的信息非常匮乏。本研究的目的是确定在全科医疗首次就诊后6个月内与肩部疼痛相关的成本。
方法
对587例新发肩部疼痛患者进行前瞻性队列研究，随访期为6个月。通过成本日记在6个月内收集成本数据。
结果
84%的患者完成了所有成本日记。直接医疗保健和非医疗相关护理的平均消耗量较低。在肩部疼痛首次就诊后的6个月内，患者产生的平均总成本为689欧元。其中近50%为间接成本，由带薪工作病假导致。一小部分人群（12%）产生了总成本的74%。
结论
初级保健中肩部疼痛首次就诊后6个月的总成本大多由一小部分人群产生，并不高得惊人。
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