Rheumatology and Immunotherapy Center, Franklin, WI, USA.
Postgrad Med. 2013 Jul;125(4):70-7. doi: 10.3810/pgm.2013.07.2678.
Fibromyalgia (FM) is a widespread chronic pain condition that represents a significant economic burden for patients and health care systems. Effective treatment of FM requires a multidisciplinary management strategy that incorporates pharmacologic and nonpharmacologic therapy. Steps such as reducing the time to diagnosis and improving treatment decisions can result in significant cost savings and improved patient outcomes. An FM management framework, based on patient education and goal setting, has emphasized the need for ongoing care of patients with FM. In this article, we discuss how this framework could be further improved through the use of health information technology, including electronic health records. Health information technology/electronic health records can be incorporated at every stage of patient care, from initial presentation to diagnosis, through to making treatment decisions and maintaining ongoing patient management. This can lead to a number of potential benefits for patients with FM (by improving their level of care), primary care providers (by creating greater efficiencies), and the health care system (by reducing costs). Ultimately, the treatment and care of patients with FM need be no more burdensome to primary care providers than any other chronic illness. Through the greater efficiencies and optimized treatment approaches facilitated by health information technology/electronic health records, it should be possible to drive best-practice care for patients with FM and improve patient outcomes.
纤维肌痛症 (FM) 是一种广泛存在的慢性疼痛疾病,给患者和医疗保健系统带来了重大的经济负担。有效的 FM 治疗需要多学科管理策略,包括药物和非药物治疗。例如,减少诊断时间和改善治疗决策可以节省大量成本并改善患者的预后。基于患者教育和目标设定的 FM 管理框架强调了对 FM 患者进行持续护理的必要性。在本文中,我们讨论了如何通过使用健康信息技术(包括电子健康记录)进一步改进该框架。健康信息技术/电子健康记录可以在患者护理的每个阶段进行整合,从最初的就诊到诊断,再到治疗决策和持续的患者管理。这可以为 FM 患者(通过改善护理水平)、初级保健提供者(通过提高效率)和医疗保健系统(通过降低成本)带来许多潜在的好处。最终,FM 患者的治疗和护理不应比任何其他慢性疾病给初级保健提供者带来更大的负担。通过健康信息技术/电子健康记录实现的更高效率和优化的治疗方法,应该能够为 FM 患者提供最佳实践护理并改善患者的预后。