从患者的角度来看,由于慢性腰部疼痛而导致的劳动残疾的经济影响
Etienne James-Belin1, Agnès Ostertag2, Emmanuel Couzi2
1Service de Médecine Physique et de Réadaptation, Hôpital Lariboisère-Fernand Widal, Département Médico-Universitaire Locomotion, Groupe Hospitalo-Universitaire AP-HP.Nord - Université de Paris, Paris, France.
Revue d'epidemiologie et de sante publique
|June 4, 2023
概括
慢性腰部疼痛 (LBP) 的劳动残疾导致患者的收入损失. 这种财务影响因工作类型和社会保障而异,对于与工作有关的伤害和高级职位较低.
科学领域:
- 卫生经济学 卫生经济学
- 职业健康 职业健康 职业健康
- 疼痛管理 疼痛管理
背景情况:
- 腰部疼痛 (LBP) 是一个重要的医疗保健支出.
- 从患者的角度来看,经济影响数据有限.
- 了解患者报告的经济负担对于LBP管理至关重要.
研究的目的:
- 从患者的角度来估计与慢性LBP相关的工作残疾的经济影响.
- 确定影响慢性LBP患者收入损失的因素.
- 为LBP干预提供以患者为中心的经济数据.
主要方法:
- 对244名患有非特异性LBP (≥3个月) 的患者 (≥17岁) 的截面分析.
- 收集了关于疼痛,功能残疾 (北克背部疼痛残疾量表),生活质量 (达拉斯疼痛问卷),工作类别,就业状态,工作残疾持续时间和收入的数据.
- 多变量后勤回归确定了与收入损失相关的因素.
主要成果:
- 199名患者经历了劳动残疾,主要是由于病假 (196).
- 平均收入损失为14% (SD 24%),与职业伤害相关的病假显著下降.
- 较高的职位类别 (监督员,高级管理人员) 与工人/雇员相比,收入损失的可能性约为50%.
结论:
- 慢性LBP导致的劳动残疾导致患者收入损失.
- 收入损失受到社会保障和工作类别的影响.
- 干预措施应考虑职业因素和社会支持,以减轻LBP的经济后果.
相关概念视频
01:17Classification of Illness
7.6K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.6K
01:29Chronic Pancreatitis II: Collaborative Care
116
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
116
01:24Chronic Pancreatitis I: Introduction
116
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
116
01:26Peripheral Artery Disease IV: Nursing Management
14
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
14
01:15Methods of Documentation VI: Case Management Model
601
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
601