Mazzuca S A
Rheumatology Division, Indiana University School of Medicine, Indianapolis 46202-5103.
Curr Opin Rheumatol. 1994 Mar;6(2):147-52. doi: 10.1097/00002281-199403000-00005.
In this review, recent research on educational and psychosocial issues in rheumatology are interpreted in light of the prospects for reforms in health care delivery in the United States. Increased emphasis on primary care will prompt a reappraisal of the training of medical students and primary care residents in the diagnosis, management, and referral of patients with rheumatologic conditions. Evidence of the economic benefits of arthritis self-care education has begun to appear and, if it continues to accumulate, will help assure the availability of such interventions for arthritis patients. Finally, further understanding of the psychosocial impact of musculoskeletal pain and impairment will better enable us to prevent the disability that is a large and growing drain on the American economy.
在本综述中，根据美国医疗保健服务改革的前景，对近期风湿病学教育和社会心理问题的研究进行了解读。对初级保健的日益重视将促使人们重新评估医学生和初级保健住院医师在风湿病患者诊断、管理和转诊方面的培训。关节炎自我护理教育经济效益的证据已开始出现，若能持续积累，将有助于确保为关节炎患者提供此类干预措施。最后，对肌肉骨骼疼痛和损伤的社会心理影响有更深入的了解，将使我们能更好地预防残疾，而残疾对美国经济造成的消耗巨大且呈增长趋势。
