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有证据表明,针对慢性关节炎患者的自我管理健康教育在降低医疗成本的同时,还能持续带来健康益处。

Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs.

作者信息

Lorig K R, Mazonson P D, Holman H R

机构信息

Department of Medicine, Stanford University, California.

出版信息

Arthritis Rheum. 1993 Apr;36(4):439-46. doi: 10.1002/art.1780360403.

Abstract

OBJECTIVE

To determine the effects of the Arthritis Self-Management Program 4 years after participation in it.

METHODS

Valid self-administered instruments were used to measure health status, psychological states, and health service utilization.

RESULTS

Pain had declined a mean of 20% and visits to physicians 40%, while physical disability had increased 9%. Comparison groups did not show similar changes. Estimated 4-year savings were $648 per rheumatoid arthritis patient and $189 per osteoarthritis patient.

CONCLUSION

Health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs.

摘要

目的

确定参与关节炎自我管理项目4年后的效果。

方法

使用有效的自填式工具来测量健康状况、心理状态和医疗服务利用情况。

结果

疼痛平均下降了20%,看医生的次数减少了40%,而身体残疾增加了9%。对照组未显示出类似变化。估计每位类风湿性关节炎患者4年节省648美元,每位骨关节炎患者节省189美元。

结论

慢性关节炎的健康教育可能会在降低成本的同时,为传统治疗带来显著且持续的益处。

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