Babu Ashwin N, McCormick Zachary, Kennedy David J, Press Joel
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Charlestown, MA, USA.
Department of Physical Medicine and Rehabilitation, Northwestern Feinberg School of Medicine, The Rehabilitation Institute of Chicago, Chicago, IL, USA.
J Back Musculoskelet Rehabil. 2016 Nov 21;29(4):685-692. doi: 10.3233/BMR-160670.
In the past two decades, the cost associated with managing low back pain has increased significantly. Improved consciousness of how clinicians utilize resources when managing low back pain is necessary in the current economic climate. The goal of this review is to examine the component costs associated with managing low back pain and provide practical solutions for reducing healthcare costs. This is accomplished by utilizing examples from a major metropolitan area with several major academic institutions and private health care centers. It is clear that there is considerable local and national variation in the component costs of managing low back pain, including physician visits, imaging studies, medications, and therapy services. By being well informed about these variations in one's environment, clinicians and patients alike can make strides towards reducing the financial impact of low back pain. Investigation of the cost discrepancies for services within one's community of practice is important. Improved public access to both cost and outcomes data is needed.
在过去二十年中，与管理下背痛相关的成本显著增加。在当前经济形势下，提高临床医生在管理下背痛时如何利用资源的意识很有必要。本综述的目的是研究与管理下背痛相关的组成成本，并提供降低医疗成本的实际解决方案。这是通过利用一个拥有几所主要学术机构和私立医疗中心的大都市地区的实例来实现的。很明显，在管理下背痛的组成成本方面，包括看医生、影像学检查、药物和治疗服务等，存在相当大的地方和全国性差异。通过充分了解自身环境中的这些差异，临床医生和患者都可以朝着降低下背痛的经济影响迈进。调查自己执业社区内服务的成本差异很重要。需要改善公众对成本和结果数据的获取。
