Young G
University of Utah School of Medicine, Salt Lake City.
Clin Podiatr Med Surg. 1994 Jan;11(1):15-23.
Chronic pain problems and the resultant loss of function and productivity are major problems facing medicine today. Diagnosis of the underlying cause of the pain often eludes our best efforts. Unfortunately, part of the problem stems from the lack of a systematic and logical approach to the evaluation of patients with chronic pain. This article details the systematic approach used at the Intermountain Center for Podiatric Excellence and reviews the current literature on the subject. The evaluation system is driven by the differential diagnosis and includes psychosocial evaluation as indicated. This system was developed with the goal of maximizing diagnostic precision while minimizing costs.
慢性疼痛问题以及由此导致的功能丧失和生产力下降是当今医学面临的主要问题。对疼痛潜在病因的诊断常常让我们竭尽全力也难以做到。不幸的是，部分问题源于对慢性疼痛患者评估缺乏系统且合乎逻辑的方法。本文详细介绍了山间足病卓越中心所采用的系统方法，并回顾了关于该主题的当前文献。评估系统由鉴别诊断驱动，并根据需要包括社会心理评估。该系统的开发目标是在将成本降至最低的同时最大限度地提高诊断准确性。
