Health care utilization of mexican patients with medically unexplained physical symptoms
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| Format: | Artículo científico |
| Langue: | en |
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Universidad del Valle
2016
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| _version_ | 1876463480483086336 |
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| author | Azucena Maribel Rodriguez González |
| author_facet | Azucena Maribel Rodriguez González |
| contents | Health care utilization of mexican patients with medically unexplained physical symptoms Azucena Maribel Rodriguez González José Manuel Ramírez Aranda Homero de los Santos Reséndiz María Yolanda Lara Duarte Santiago Oscar Pazaran Zanella Jafet Felipe Méndez López Issa Gil Alfaro Félix Gilberto Islas Ruz Gloria Navarrete Floriano Edith Guillen Salomón Obdulia Texon Fernández Silvia Cruz Duarte Juan Carlos Romo Salazar Claudia Elsa Pérez Ruiz Sara de Jesús López Salas Lizbeth Benítez Amaya Javier Nahum Zapata Gallardo Medicina physician somatization family medicine ambulatory care patient relations 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 <0.0001 and 0.6 vs. 0.8; p < 0.01, respectively). Conclusions: The prevalence of medically unexplained physical symptoms was low, but with a greater impact on some health services. This could represent an overload in medical costs. 2016 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28348402005 https://www.redalyc.org/journal/283/28348402005/ https://www.redalyc.org/journal/283/28348402005/html/ https://www.redalyc.org/journal/283/28348402005/28348402005.epub https://www.redalyc.org/journal/283/28348402005/movil en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.47 |
| format | Artículo científico |
| id | redalyc_28348402005 |
| institution | Redalyc |
| language | en |
| publishDate | 2016 |
| publisher | Universidad del Valle |
| spellingShingle | Health care utilization of mexican patients with medically unexplained physical symptoms Azucena Maribel Rodriguez González Medicina physician somatization family medicine ambulatory care patient relations Health care utilization of mexican patients with medically unexplained physical symptoms Azucena Maribel Rodriguez González José Manuel Ramírez Aranda Homero de los Santos Reséndiz María Yolanda Lara Duarte Santiago Oscar Pazaran Zanella Jafet Felipe Méndez López Issa Gil Alfaro Félix Gilberto Islas Ruz Gloria Navarrete Floriano Edith Guillen Salomón Obdulia Texon Fernández Silvia Cruz Duarte Juan Carlos Romo Salazar Claudia Elsa Pérez Ruiz Sara de Jesús López Salas Lizbeth Benítez Amaya Javier Nahum Zapata Gallardo Medicina physician somatization family medicine ambulatory care patient relations 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 <0.0001 and 0.6 vs. 0.8; p < 0.01, respectively). Conclusions: The prevalence of medically unexplained physical symptoms was low, but with a greater impact on some health services. This could represent an overload in medical costs. 2016 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28348402005 https://www.redalyc.org/journal/283/28348402005/ https://www.redalyc.org/journal/283/28348402005/html/ https://www.redalyc.org/journal/283/28348402005/28348402005.epub https://www.redalyc.org/journal/283/28348402005/movil en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.47 |
| title | Health care utilization of mexican patients with medically unexplained physical symptoms |
| topic | Medicina physician somatization family medicine ambulatory care patient relations |
| url | https://www.redalyc.org/articulo.oa?id=28348402005 https://www.redalyc.org/journal/283/28348402005/ https://www.redalyc.org/journal/283/28348402005/html/ https://www.redalyc.org/journal/283/28348402005/28348402005.epub https://www.redalyc.org/journal/283/28348402005/movil |