德国风湿病护理服务的利用情况：物理治疗与自助团体的案例
Utilisation of rheumatology care services in Germany: the case of physical therapy and self-help groups.
作者信息
Thieme Holm, Borgetto Bernhard
机构信息
University of Applied Sciences and Arts Hildesheim, Faculty of Social Work and Health, Research Group on Occupational, Speech and Physical Therapies, Hildesheim, Germany.
出版信息
Psychosoc Med. 2012;9:Doc08. doi: 10.3205/psm000086. Epub 2012 Oct 25.
Physical Therapy (PT) and self-help groups (SHG) are important components of health care in rheumatic diseases. The utilisation of PT and SHG by patients with rheumatic diseases may be influenced by several factors. The aim of this study is to summarize the evidence on PT and SHG utilisation of patients with rheumatic diseases in Germany. We systematically searched the MEDLINE-database for studies that evaluated the utilisation and factors that possibly influence the utilisation of PT and SHG. Eight studies were found for PT-utilisation and one for SHG-utilisation. Between 25 and 59 percent of patients with rheumatic diseases received PT services. Several individual and contextual factors that may influence the utilisation could be identified. In conclusion, evidence exists for wide variations in the utilisation of PT services and an underuse of such services among patients with rheumatic diseases in Germany. By contrast, little evidence exists on the utilisation of SHG.
物理治疗（PT）和自助小组（SHG）是风湿病医疗保健的重要组成部分。风湿病患者对PT和SHG的利用可能受到多种因素的影响。本研究的目的是总结德国风湿病患者对PT和SHG利用情况的证据。我们系统地检索了MEDLINE数据库，以查找评估PT和SHG利用情况以及可能影响其利用的因素的研究。发现了八项关于PT利用情况的研究和一项关于SHG利用情况的研究。25%至59%的风湿病患者接受了PT服务。可以确定一些可能影响利用情况的个体和背景因素。总之，有证据表明德国风湿病患者对PT服务的利用存在很大差异，且此类服务利用不足。相比之下，关于SHG利用情况的证据很少。
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