Health care utilization of mexican patients with medically unexplained physical symptoms
| Autor: | González, Azucena Maribel Rodriguez, Aranda, José Manuel Ramírez, Reséndiz, Homero de los Santos, Duarte, María Yolanda Lara, Zanella, Santiago Oscar Pazaran, López, Jafet Felipe Méndez, Alfaro, Issa Gil, Islas Ruz, Félix Gilberto, Navarrete Floriano, Gloria, Guillen Salomón, Edith, Texon Fernández, Obdulia, Cruz Duarte, Silvia, Romo Salazar, Juan Carlos, Pérez Ruiz, Claudia Elsa, Salas, Sara de Jesús, Benítez Amaya, Lizbeth, Zapata Gallardo, Javier Nahum |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Somatization disorder
Transtorno de somatización medicina familiar atención ambulatoria health care institutions somatization relación medico-paciente servicios de salud family medicine ambulatory care physician-patient relations instituciones de salud primary health care somatización atención primaria de salud health care services |
| Zdroj: | Colombia Médica, Volume: 47, Issue: 3, Pages: 155-159, Published: SEP 2016 |
| Popis: | Objective: To determine the prevalence of medically unexplained physical symptoms and the characteristics and use of health services in a group of patients with medically unexplained physical symptoms and a group of patients with other illnesses. Methods: This was a cross-sectional, retrospective and multicenter study. We included 1,043 patients over 18 years of age from 30 primary care units of a government health institution, in 11 states of Mexico, attended by 39 family physicians. The prevalence of medically unexplained physical symptoms was determined and both groups with or without symptoms were compared with regard to drug use, laboratory and other studies, leaves of absence, and referrals in the last six months. The group with medically unexplained physical symptoms was diagnosed using the Patient Health Questionnaire and the diagnostic criteria of Reid et al. Emergency or terminal illnesses were excluded. The chi square test was used with a statistical significance of p < 0.05. Results: Medically unexplained physical symptoms was diagnosed in 73 patients (7.0%). The majority were women (91.8%); their predominant symptom was from the gastrointestinal system in 56 (76.7%). This group had a greater use of clinical studies and referrals to other services (mean 1.1 vs. 0.5; p |
| Databáze: | OpenAIRE |
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