Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
BMC Health Serv Res. 2013 Sep 28;13:365. doi: 10.1186/1472-6963-13-365.
To organize tailored healthcare for people with multiple sclerosis (MS), knowledge about patterns in the use of healthcare among subgroups, such as those with depressive symptoms, is essential. Thus, the purpose of this study was to explore and compare the use of health services in people with MS and depressive symptoms, and without depressive symptoms over a period of 30 months.
Data on the use of health services by 71 people with MS and depressive symptoms, and 102 with no depressive symptoms were collected from a computerised register and by interview, then categorized with regard to disease severity (Expanded Disability Status Scale).
People with EDSS mild and depressive symptoms used more outpatient and inpatient care compared to those with no depressive symptoms. Furthermore, they received more unsalaried informal care as well as intense rehabilitation periods.
The issues underlying the differences in the use of healthcare need to be explored further, as well as the plausible implications for the organization of healthcare services for people with MS and depressive symptoms. Furthermore, the life situations of caregivers of people with MS and depressive symptoms should be considered, and appropriate interventions supplied in order to diminish caregiver burden.
为了为多发性硬化症（MS）患者提供量身定制的医疗保健，了解亚组（如伴有抑郁症状的患者）的医疗保健使用模式至关重要。因此，本研究的目的是探讨和比较在 30 个月的时间内，伴有抑郁症状和不伴有抑郁症状的 MS 患者对卫生服务的使用情况。
从计算机化登记处和访谈中收集了 71 名伴有抑郁症状和 102 名不伴有抑郁症状的 MS 患者的卫生服务使用数据，然后根据疾病严重程度（扩展残疾状态量表）进行分类。
EDSS 轻度且伴有抑郁症状的患者与不伴有抑郁症状的患者相比，使用更多的门诊和住院护理。此外，他们接受了更多的无薪非正式护理以及密集的康复期。
需要进一步探讨导致医疗保健使用差异的根本问题，以及为伴有抑郁症状的 MS 患者组织医疗保健服务的可能影响。此外，应考虑伴有抑郁症状的 MS 患者的照顾者的生活状况，并提供适当的干预措施，以减轻照顾者的负担。
