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Titolo:
Utilisation of health care system by chronic pain patients who applied fordisability pensions
Autore:
Hojsted, J; Alban, A; Haglid, K; Eriksen, J;
Indirizzi:
Natl Hosp, Ctr Multidisciplinary Pain, Copenhagen, Denmark Natl Hosp Copenhagen Denmark ultidisciplinary Pain, Copenhagen, Denmark DSI, Inst Hlth Serv Res, Copenhagen, Denmark DSI Copenhagen DenmarkDSI, Inst Hlth Serv Res, Copenhagen, Denmark Cent Off Hlth Serv, Copenhagen, Denmark Cent Off Hlth Serv Copenhagen Denmark ff Hlth Serv, Copenhagen, Denmark
Titolo Testata:
PAIN
fascicolo: 3, volume: 82, anno: 1999,
pagine: 275 - 282
SICI:
0304-3959(199909)82:3<275:UOHCSB>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOW-BACK-PAIN; PSYCHOLOGICAL DISTURBANCE; COMPENSATION; QUESTIONNAIRE;
Keywords:
chronic pain; disability pension; health care utilisation; economics;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Hojsted, J Thorsvej 7, DK-4300 Holbaek, Denmark Thorsvej 7 Holbaek Denmark DK-4300 , DK-4300 Holbaek, Denmark
Citazione:
J. Hojsted et al., "Utilisation of health care system by chronic pain patients who applied fordisability pensions", PAIN, 82(3), 1999, pp. 275-282

Abstract

The objective of this study was to investigate how economic compensation for disability (disability pensions) to chronic pain patients affected theirutilisation of health care services. The study was carried out as a register investigation. Inclusion of 144 study patients was based on records from1989 and 1990 of the Rehabilitation and Pension Board in the Municipality of Copenhagen. Only patients of Danish origin with chronic non-malignant pain were included. The study period was divided into three: Subperiod 1: Theyear preceding the submission of the application for a disability pension. Subperiod 2: The period from the submission of the application to the decision was made. Subperiod 3: The year following the final decision of the health authorities. The patients were divided into 4 Subgroups according to whether disability pensions was awarded or rejected, or whether the patientsaccepted or appealed the decision. Based on number and charges of visits to the GPs the total costs of care in the primary sector were calculated. Bymeans of number of bed days, visits to outpatients clinics, operations, blood samples, and various investigations, the total costs of hospital care were calculated, We found that application for a disability pension in chronic pain patients significantly influenced the health care utilisation. Chronic pain patients had a significantly lower health care utilisation after receiving a disability pension than before the pension was awarded. Chronic pain patients who did not get a disability pension and those who were not satisfied with the level of the pension awarded, maintained their health care utilisation after the decision. The mean health care use by the patients who appealed the level of the pension was three times higher than the mean health care use by the patients who accepted the level of the pension awarded. The study may indicate that lack of or insufficient economic compensation from the social system in chronic pain patients contribute to an inexpedient pain behaviour resulting in increased expenses for the health care sector. (C) 1999 International Association for the Study of Pain. Published byElsevier Science B.V.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 03:57:16