Health care utilisation among individuals reporting long-term pain: an epidemiological study based on Danish National Health Surveys
Health care utilisation among individuals reporting long-term pain: an epidemiological study based on Danish National Health Surveys
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DOI：
10.1016/j.ejpain.2003.12.001
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发表时间：
2004-12-01
影响因子：
3.6
通讯作者：
Rasmussen, NK
中科院分区：
文献类型：
--
作者：
Eriksen, J;Sjogren, P;Rasmussen, NK
在1994年和2000年丹麦健康和疾病调查，其中包括6000和16,684人的随机样本，分别报告长期疼痛的个人进行了调查，他们使用的医疗保健系统。与无疼痛对照组相比，在初级和二级卫生保健部门的疼痛人群中观察到相当高的使用率。1994年，报告长期疼痛的个人平均每年有12.8次接触初级保健部门，而对照组为7.3次。使用二级卫生保健部门估计的住院频率和住院天数不仅显着较高的疼痛组，但也显示出增加的趋势，在调查期间（1991年至1997年）。妇女使用的医疗保健系统明显多于男性，而年龄似乎并没有影响。总之，个人报告长期/慢性疼痛有一个显着较高的使用医疗保健系统比个人没有长期/慢性疼痛的投诉。原因可归因于患者内部因素、卫生保健系统内部因素（对慢性疼痛的认识不足，导致寻求躯体诊断，以及难以认识合理治疗尝试的终点）和社会因素（关于残疾和赔偿的立法）。(C)2003年，国际疼痛研究协会欧洲分会联合会。由Elsevier Ltd.出版。保留所有权利。
Individuals reporting long-term pain in the 1994 and 2000 Danish Health and Morbidity Surveys, which included random samples of 6000 and 16,684 persons respectively, were investigated concerning their use of the health care systems. A considerably higher use was observed in the pain population in the primary as well as the secondary health care sector, compared with a no pain control group. In 1994, individuals reporting long-term pain had on average 12.8 contacts per year to the primary health care sector compared with 7.3 for the control group. Use of secondary health care sector as estimated by hospital admission frequency and number of in-hospital days was not only significantly higher for the pain group but showed also an increasing tendency during the periods investigated (1991-1997). Women used the health care system significantly more than men, whereas age did not seem to influence.In conclusion, individuals reporting long-term/chronic pain have a significantly higher use of the health care system than individuals without long-term/chronic pain complaints. Reasons may be ascribed to within-patient factors, factors within the health care system (insufficient knowledge on chronic pain resulting in the seeking after a somatic diagnosis, and difficulties in recognizing the endpoint of reasonable treatment attempts), and societal factors (legislation on disability and compensation). (C) 2003 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.