The pattern of health care utilization of elderly people with arthritic pain in the hip or knee
The pattern of health care utilization of elderly people with arthritic pain in the hip or knee
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DOI：
10.1093/intqhc/9.2.129
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发表时间：
1997-04-01
影响因子：
2.6
通讯作者：
Kraaimaatt, FW
中科院分区：
文献类型：
--
作者：
HopmanRock, M;DeBock, GH;Kraaimaatt, FW
目的：本研究的目的是确定55-74岁的膝关节或髋关节疼痛患者的医疗保健利用模式。设计：在一项基于人群的研究中确定了当前疼痛的人，使用过滤模型来描述不同水平的患者的医疗保健利用模式（全科医生或专家）的卫生保健系统在荷兰，设置：这项研究是在Ommoord区在鹿特丹的年龄和性别代表性样本831（响应83%; n = 691）人，研究参与者：确定了一组186名患有当前疼痛的人。主要结果测量：背景变量、疾病相关变量（包括放射性骨关节炎），和自我报告的诊断进行了描述和比较的出席者和nonattenders的全科医生和专家，一个参考组的患者的全科医生被用来确定的有效性和普遍性的调查结果。82%的人咨询了全科医生（通过过滤器1），在69%的GP参加者中，确定了“关节炎”（通过过滤器2），其中65%的人参加了专家（通过过滤器3），没有通过各种过滤器的人与身体质量指数不同（较低; OR 1.24），慢性疼痛（较低的慢性疼痛; OR 4.9）和物理治疗师的出勤率（较低; OR 5.6）。慢性疼痛似乎更重要的是在确定卫生保健利用模式比疼痛的严重程度，残疾的水平或放射性骨关节炎的存在。我们认为，健康促进干预措施可以提高患者的自我管理能力，并可以降低成本。(C)1997 Elsevier Science Ltd.
Objective: The aim of the study was to determine the pattern of health care utilization of people aged 55-74 years with arthritic pain in the knee or hip.Design: People with current pain were identified in a population-based study, A filter model was used to describe the pattern of health care utilization of people who presented as patients at different levels (GPs or specialist) of the health care system in the Netherlands,Setting: The study was carried out in the district of Ommoord in Rotterdam in an age- and gender-representative sample of 831 (response 83%; n = 691) people,Study participants: A group of 186 people with current pain was identified. They completed a questionnaire and were interviewed.Main outcome measures: Background variables, illness-related variables (including radiological osteoarthritis), and self-reported diagnoses were described and compared for attenders and nonattenders of GPs and specialists, A reference group of patients of GPs was used to determine the validity and generalizability of the findings.Results: Eighty-two per cent consulted a GP (passed filter 1), In 69% of the GP attenders, 'arthritis' was identified (passed filter 2), and 65% of them attended a specialist (passed filter 3), People who did not pass the various filters were different from those who did with respect to the body mass index (lower; OR 1.24), the chronicity of pain (less chronic pain; OR 4.9) and attendance of a physiotherapist (lower; OR 5.6). The chronicity of pain seems of more importance in determining the health care utilization pattern than the severity of pain, the level of disability or the presence of radiological osteoarthritis. We suggest that health promotion interventions could increase the self-management ability of patients and could lower costs. (C) 1997 Elsevier Science Ltd.