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慢性消化系统疾病患者:在护理计划中,初级保健医生与专科医生通过有效的互动沟通及整合医学进行协作能否改善生活质量?

Patient Suffering in Chronic Digestive Diseases: Will Primary Care-Specialist Collaboration With Effective Interactive Communication and Integrative Medicine in the Plan of Care Improve Quality of Life?

作者信息

Thomas Andrew, Thomas Annie

机构信息

Bharati Vidyapeeth Medical College, Pune, India.

Research Volunteer, All of US Research Program, University of Illinois Health Sciences System, Chicago, IL, USA.

出版信息

J Patient Exp. 2020 Dec;7(6):989-993. doi: 10.1177/2374373520967798. Epub 2020 Oct 16.

DOI:10.1177/2374373520967798
PMID:33457535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786766/
Abstract

Acute and chronic digestive diseases are causing increased burden to patients and are increasing the United States health care spending. The purpose of this case report was to present how nonconfirmatory and conflicting diagnoses led to increased burden and suffering for a patient thus affecting quality of life. There were many physician visits and multiple tests performed on the patient. However, the primary care physician and specialists could not reach a confirmatory diagnosis. The treatment plans did not offer relief of symptoms, and the patient continues to experience digestive symptoms, enduring this burden for over 2 years. The central theme of this paper is to inform health care providers the importance of utilizing evidence-based primary care specialist collaboration models for better digestive disease outcomes. Consistent with patient's experience, the authors propose to pilot/adopt the integrative health care approaches that are proven effective for treating digestive diseases.

摘要

急慢性消化系统疾病给患者带来了日益沉重的负担,同时也使美国的医疗保健支出不断增加。本病例报告的目的是展示非确定性和相互矛盾的诊断如何给患者带来更多负担和痛苦,从而影响生活质量。患者看了很多医生,还做了多项检查。然而,初级保健医生和专科医生都未能做出确定性诊断。治疗方案未能缓解症状,患者仍持续出现消化系统症状,承受这种负担已超过两年。本文的核心主题是告知医疗保健提供者,采用基于证据的初级保健专科医生协作模式对于改善消化系统疾病治疗效果的重要性。与患者的经历一致,作者建议试行/采用已被证明对治疗消化系统疾病有效的综合医疗保健方法。

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Front Psychiatry. 2020 Jul 10;11:601. doi: 10.3389/fpsyt.2020.00601. eCollection 2020.
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Gastroenterologists and Patients Report High Satisfaction Rates With Telehealth Services During the Novel Coronavirus 2019 Pandemic.胃肠病学家和患者报告称,在2019年新型冠状病毒大流行期间,对远程医疗服务的满意度很高。
Clin Gastroenterol Hepatol. 2020 Oct;18(11):2393-2397.e2. doi: 10.1016/j.cgh.2020.07.014. Epub 2020 Jul 11.
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Telemedicine in the Time of COVID and Beyond.新冠疫情期间及之后的远程医疗
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Hypnosis and Cognitive Behavioral Therapies for the Management of Gastrointestinal Disorders.催眠和认知行为疗法在胃肠道疾病管理中的应用。
Curr Gastroenterol Rep. 2020 Jun 3;22(7):31. doi: 10.1007/s11894-020-00769-z.
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COVID emergency: an opportunity to increase the interaction between hepatologist and primary care physician.新冠疫情紧急情况:增加肝病专家与初级保健医生互动的机会。
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