Section of Neurology, Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden.
Division of Neurobiology, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Brain Behav. 2022 Jun;12(6):e2582. doi: 10.1002/brb3.2582. Epub 2022 May 5.
The burden of disease for persons with multiple sclerosis (MS) and society is changing due to new treatments. Knowledge about the total need for care is necessary in relation to changing needs and new service models.
The aim of this study was to describe the contact patterns for MS patients, calculate costs in health care, and create meaningful subgroups to analyze contact patterns.
All patients diagnosed with MS at Ryhov Hospital were included. All contacts in the region from January 1, 2018, until September 30, 2019, were retrieved from the hospital administrative system. Data about age, sex, contacts, and diagnosis were registered. The cost was calculated using case costing, and costs for prescriptions were calculated from medical files.
During the 21-month period, patients (n = 305) had 9628 contacts and 7471 physical visits, with a total cost of $7,766,109. Seventeen percent of the patients accounted for 48% of the visits. The median annual cost was $7386 in the group with 10 or fewer visits, compared to $22,491 in patients with more than 50 visits.
There are considerable differences in the utilization of care and cost between patients with MS in an unselected population, meaning that the care needs to be better customized to each patient's demands.
由于新的治疗方法，多发性硬化症（MS）患者和社会的疾病负担正在发生变化。了解整体护理需求对于不断变化的需求和新的服务模式是必要的。
本研究旨在描述 MS 患者的就诊模式，计算医疗保健成本，并创建有意义的亚组来分析就诊模式。
所有在 Ryhov 医院诊断为 MS 的患者均纳入研究。从医院管理系统中检索 2018 年 1 月 1 日至 2019 年 9 月 30 日期间该地区的所有就诊信息。记录患者的年龄、性别、就诊次数和诊断信息。使用病例成本法计算成本，从医疗记录中计算处方成本。
在 21 个月的时间里，305 名患者共就诊 9628 次，其中 7471 次为实体就诊，总费用为 7766109 美元。17%的患者占就诊次数的 48%。就诊次数在 10 次以下的患者的年平均费用为 7386 美元，而就诊次数超过 50 次的患者的年平均费用为 22491 美元。
在未选择的 MS 患者人群中，护理的利用和成本存在显著差异，这意味着需要根据每位患者的需求更好地定制护理。
