Thomas Andrew, Thomas Annie
Bharati Vidyapeeth Medical College, Pune, India.
Research Volunteer, All of US Research Program, University of Illinois Health Sciences System, Chicago, IL, USA.
J Patient Exp. 2020 Dec;7(6):989-993. doi: 10.1177/2374373520967798. Epub 2020 Oct 16.
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.
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。