Lundeen T F, George J M, Toomey T C
North Carolina Memorial Hospital Clinical Pain Program, University of North Carolina, Chapel Hill 27599.
J Craniomandib Disord. 1991 Fall;5(4):280-5.
Because physician utilization is only partly related to physical health status, it was hypothesized that high utilization associated with chronic pain should correlate with other nonpain factors. One hundred consecutive patients were given a battery of tests and rated by clinicians for the severity of psychological factors, stress, and chronicity. The patients were divided into high- and low-utilization groups on the basis of their scores on the Health Care Utilization Index. The high-utilization patients were found to be more focused on bodily symptoms and to be more convinced that they had a physical illness. This contrasted with the clinicians' opinion that the high-utilization patients had higher levels of psychological factors and stress.
由于医生的诊疗利用率仅部分与身体健康状况相关，因此推测与慢性疼痛相关的高诊疗利用率应与其他非疼痛因素相关。连续一百名患者接受了一系列测试，并由临床医生对心理因素、压力和慢性病的严重程度进行评分。根据他们在医疗保健利用指数上的得分，将患者分为高诊疗利用率组和低诊疗利用率组。研究发现，高诊疗利用率的患者更关注身体症状，并且更坚信自己患有身体疾病。这与临床医生认为高诊疗利用率患者有更高水平的心理因素和压力的观点形成了对比。
