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在初级保健中跨学科疼痛康复前后的医疗保健利用和资源分配

Katarina Eklund¹, Britt-Marie Stålnacke¹, Paul Enthoven²

¹Department of Community Medicine and Rehabilitation, University of Umeå, Biologihuset Linneus väg 9, Umeå, 90736, Sweden.

Scandinavian journal of pain

|September 18, 2025

概括

在初级保健 (PC) 中,跨学科疼痛康复计划 (IPRP) 将医疗保健利用率降低了16%,成本降低了12%. 这简化了慢性疼痛管理,并释放了资源.

科学领域:

疼痛管理疼痛管理
医疗保健利用研究研究医疗保健利用研究
初级医疗保健医学一级医疗保健医学

背景情况:

慢性疼痛在初级保健 (PC) 中普遍存在并具有挑战性,导致医疗保健利用率增加 (HCU).
跨学科疼痛康复计划 (IPRP) 是有效的,但在PC环境中未得到充分利用.
评估IPRP后的HCU变化对于优化慢性疼痛管理策略至关重要.

研究的目的:

评估IPRP对PC管理的慢性疼痛患者的HCU的影响.
在IPRP参与之前和之后分析医疗保健成本和资源分配的变化.
为PC设置提供IPRP对PC设置的实际影响的见解.

主要方法:

使用国家疼痛登记册和区域行政HCU数据进行回顾性队列研究.
包括146名在PC环境下接受IPRP的患者.
在IPRP之前和之后的一年,使用对联t试验,比较了门诊医疗保健联系人,成本和资源分配.

主要成果:

在IPRP之后的一年,HCU总体下降了16%.
医疗保健费用减少了12% (每位参与者434欧元).
在物理治疗 (31%) 和全科医生 (23%) 访问中观察到显著下降;在医疗保健专业人员联系中略有增加.

结论:

在PC设置中的IPRP可以有效地降低HCU和相关成本.
这些计划简化了慢性疼痛管理,并优化了初级保健中的资源配置.
调查结果为PC中心提供了有关IPRP后预期的HCU转移的有价值数据.

关键词:

慢性疼痛是一种慢性疼痛.医疗保健经济学的经济学医疗保健利用率医疗保健利用率跨学科的疼痛康复治疗主要护理是一级医疗保健.

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