Health care utilization of mexican patients with medically unexplained physical symptoms
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 an...
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| creator | 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 Ruz, Félix Gilberto Islas Floriano, Gloria Navarrete Salomón, Edith Guillen Fernández, Obdulia Texon Duarte, Silvia Cruz Salazar, Juan Carlos Romo Ruiz, Claudia Elsa Pérez Salas, Sara de Jesús López Amaya, Lizbeth Benítez Gallardo, Javier Nahum Zapata |
| description | 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 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_bioli</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5091274</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>27821895</sourcerecordid><originalsourceid>FETCH-LOGICAL-b344t-30f7985b06f2b8ef804b5e213be32707b86ce028b1c63a66cd7139140c6a64373</originalsourceid><addsrcrecordid>eNpVkN1KAzEQhYMotlZfQfICK5OfTbI3ghS1QsEbBe-WJM3aSPaHzVa7Pn0jtUVhYOCbM4czc4KmROQyK3LGT9EUCIVMMUon6CLGDwBacAXnaEKlokQV-RS9LZwOwxpb3Tu8GXzw33rwbYPbCtdu661ucJeIa4aIv3xS1m6VaAgj3jRu2wXtG7fC3XqMPxjHse6Gto6X6KzSIbqr3z5Drw_3L_NFtnx-fJrfLTPDOB8yBpUsVG5AVNQoVyngJneUMOMYlSCNEtYBVYZYwbQQdiUJKwgHK7TgTLIZut37dhuTotkUtNeh7Hpf634sW-3L_5PGr8v39rPMoSBU8mRw_dfguHn4URLc7AXGtyEde1TY3uvyAHubighgwHbm6HeP</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Health care utilization of mexican patients with medically unexplained physical symptoms</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>Bioline International</source><source>PubMed Central</source><creator>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 ; Ruz, Félix Gilberto Islas ; Floriano, Gloria Navarrete ; Salomón, Edith Guillen ; Fernández, Obdulia Texon ; Duarte, Silvia Cruz ; Salazar, Juan Carlos Romo ; Ruiz, Claudia Elsa Pérez ; Salas, Sara de Jesús López ; Amaya, Lizbeth Benítez ; Gallardo, Javier Nahum Zapata</creator><creatorcontrib>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 ; Ruz, Félix Gilberto Islas ; Floriano, Gloria Navarrete ; Salomón, Edith Guillen ; Fernández, Obdulia Texon ; Duarte, Silvia Cruz ; Salazar, Juan Carlos Romo ; Ruiz, Claudia Elsa Pérez ; Salas, Sara de Jesús López ; Amaya, Lizbeth Benítez ; Gallardo, Javier Nahum Zapata</creatorcontrib><description><![CDATA[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.
Objetivo: Determinar la prevalencia de Síntomas Físicos
Médicamente No Explicables y las características y uso de los
servicios de salud entre el grupo de pacientes con Síntomas
Físicos Médicamente No Explicables, y el grupo con otras
enfermedades. Métodos: Estudio transversal, retroprospectivo y
multicéntrico. Se incluyeron a 1,043 pacientes mayores de 18
años, en 30 unidades de atención primaria de una
institución gubernamental en salud, en 11 estados de la
República Mexicana, atendidos por 39 médicos familiares. Se
estimó la prevalencia de Síntomas Físicos Medicamente No
Explicables y se compararon los dos grupos con y sin estos
síntomas, en cuanto al uso de medicamentos, estudios de
laboratorio, de gabinete, incapacidades y referencias en los
últimos seis meses. El grupo de Síntomas Físicos
Médicamente No Explicables fue diagnosticado por el Patient Health
Questionnaire (son los síntomas físicos más
comúnmente referidos por estos pacientes en el primer nivel de
atención), además de criterios diagnósticos de Reid et
al. Se excluyeron urgencias o con enfermedad terminal. Se utilizó
prueba Chi cuadrado con p <0.05 para significancia estadística.
Resultados: El 7.0% (73) se diagnosticó como Síntomas
Físicos Médicamente No Explicables, la mayoría mujeres
(91.8%); el síntoma predominante pertenece al sistema
gastrointestinal con 76.7% (56). Este grupo demandó mayor uso de
estudios de gabinete y referencias a otros servicios (media 1.1 vs.
0.5; p <0.0001 y 0.8 vs 0.6; p <0.01, respectivamente).
Conclusiones: La prevalencia de Síntomas Físicos
Médicamente No Explicables fue baja, pero con impacto
significativo en el uso de algunos servicios de salud. Esto pudiera
representar un mayor costo comparado con otro grupo de pacientes.]]></description><identifier>ISSN: 0120-8322</identifier><identifier>EISSN: 1657-9534</identifier><identifier>PMID: 27821895</identifier><language>eng</language><publisher>Colombia: Universidad del Valle - Facultad de Salud</publisher><subject>ambulatory care ; atención ambulatoria ; atención primaria de salud ; Chi-Square Distribution ; Cross-Sectional Studies ; family medicine ; Female ; health care institutions ; health care services ; Humans ; instituciones de salud ; Male ; Medically Unexplained Symptoms ; medicina familiar ; Mexico - epidemiology ; Middle Aged ; Original ; Patient Acceptance of Health Care - statistics & numerical data ; physician-patient relations ; Prevalence ; primary health care ; relación medico-paciente ; Retrospective Studies ; servicios de salud ; somatization ; Somatization disorder ; Transtorno de somatización, somatización</subject><ispartof>Colombia medica (Cali, Colombia), 2016-09, Vol.47 (3), p.155-159</ispartof><rights>Copyright 2016 - Revista Colombia Médica</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091274/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091274/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,887,53798,53800,79434</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27821895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>González, Azucena Maribel Rodriguez</creatorcontrib><creatorcontrib>Aranda, José Manuel Ramírez</creatorcontrib><creatorcontrib>Reséndiz, Homero de los Santos</creatorcontrib><creatorcontrib>Duarte, María Yolanda Lara</creatorcontrib><creatorcontrib>Zanella, Santiago Oscar Pazaran</creatorcontrib><creatorcontrib>López, Jafet Felipe Méndez</creatorcontrib><creatorcontrib>Alfaro, Issa Gil</creatorcontrib><creatorcontrib>Ruz, Félix Gilberto Islas</creatorcontrib><creatorcontrib>Floriano, Gloria Navarrete</creatorcontrib><creatorcontrib>Salomón, Edith Guillen</creatorcontrib><creatorcontrib>Fernández, Obdulia Texon</creatorcontrib><creatorcontrib>Duarte, Silvia Cruz</creatorcontrib><creatorcontrib>Salazar, Juan Carlos Romo</creatorcontrib><creatorcontrib>Ruiz, Claudia Elsa Pérez</creatorcontrib><creatorcontrib>Salas, Sara de Jesús López</creatorcontrib><creatorcontrib>Amaya, Lizbeth Benítez</creatorcontrib><creatorcontrib>Gallardo, Javier Nahum Zapata</creatorcontrib><title>Health care utilization of mexican patients with medically unexplained physical symptoms</title><title>Colombia medica (Cali, Colombia)</title><addtitle>Colomb Med (Cali)</addtitle><description><![CDATA[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.
Objetivo: Determinar la prevalencia de Síntomas Físicos
Médicamente No Explicables y las características y uso de los
servicios de salud entre el grupo de pacientes con Síntomas
Físicos Médicamente No Explicables, y el grupo con otras
enfermedades. Métodos: Estudio transversal, retroprospectivo y
multicéntrico. Se incluyeron a 1,043 pacientes mayores de 18
años, en 30 unidades de atención primaria de una
institución gubernamental en salud, en 11 estados de la
República Mexicana, atendidos por 39 médicos familiares. Se
estimó la prevalencia de Síntomas Físicos Medicamente No
Explicables y se compararon los dos grupos con y sin estos
síntomas, en cuanto al uso de medicamentos, estudios de
laboratorio, de gabinete, incapacidades y referencias en los
últimos seis meses. El grupo de Síntomas Físicos
Médicamente No Explicables fue diagnosticado por el Patient Health
Questionnaire (son los síntomas físicos más
comúnmente referidos por estos pacientes en el primer nivel de
atención), además de criterios diagnósticos de Reid et
al. Se excluyeron urgencias o con enfermedad terminal. Se utilizó
prueba Chi cuadrado con p <0.05 para significancia estadística.
Resultados: El 7.0% (73) se diagnosticó como Síntomas
Físicos Médicamente No Explicables, la mayoría mujeres
(91.8%); el síntoma predominante pertenece al sistema
gastrointestinal con 76.7% (56). Este grupo demandó mayor uso de
estudios de gabinete y referencias a otros servicios (media 1.1 vs.
0.5; p <0.0001 y 0.8 vs 0.6; p <0.01, respectivamente).
Conclusiones: La prevalencia de Síntomas Físicos
Médicamente No Explicables fue baja, pero con impacto
significativo en el uso de algunos servicios de salud. Esto pudiera
representar un mayor costo comparado con otro grupo de pacientes.]]></description><subject>ambulatory care</subject><subject>atención ambulatoria</subject><subject>atención primaria de salud</subject><subject>Chi-Square Distribution</subject><subject>Cross-Sectional Studies</subject><subject>family medicine</subject><subject>Female</subject><subject>health care institutions</subject><subject>health care services</subject><subject>Humans</subject><subject>instituciones de salud</subject><subject>Male</subject><subject>Medically Unexplained Symptoms</subject><subject>medicina familiar</subject><subject>Mexico - epidemiology</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>physician-patient relations</subject><subject>Prevalence</subject><subject>primary health care</subject><subject>relación medico-paciente</subject><subject>Retrospective Studies</subject><subject>servicios de salud</subject><subject>somatization</subject><subject>Somatization disorder</subject><subject>Transtorno de somatización, somatización</subject><issn>0120-8322</issn><issn>1657-9534</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>RBI</sourceid><sourceid>EIF</sourceid><recordid>eNpVkN1KAzEQhYMotlZfQfICK5OfTbI3ghS1QsEbBe-WJM3aSPaHzVa7Pn0jtUVhYOCbM4czc4KmROQyK3LGT9EUCIVMMUon6CLGDwBacAXnaEKlokQV-RS9LZwOwxpb3Tu8GXzw33rwbYPbCtdu661ucJeIa4aIv3xS1m6VaAgj3jRu2wXtG7fC3XqMPxjHse6Gto6X6KzSIbqr3z5Drw_3L_NFtnx-fJrfLTPDOB8yBpUsVG5AVNQoVyngJneUMOMYlSCNEtYBVYZYwbQQdiUJKwgHK7TgTLIZut37dhuTotkUtNeh7Hpf634sW-3L_5PGr8v39rPMoSBU8mRw_dfguHn4URLc7AXGtyEde1TY3uvyAHubighgwHbm6HeP</recordid><startdate>20160930</startdate><enddate>20160930</enddate><creator>González, Azucena Maribel Rodriguez</creator><creator>Aranda, José Manuel Ramírez</creator><creator>Reséndiz, Homero de los Santos</creator><creator>Duarte, María Yolanda Lara</creator><creator>Zanella, Santiago Oscar Pazaran</creator><creator>López, Jafet Felipe Méndez</creator><creator>Alfaro, Issa Gil</creator><creator>Ruz, Félix Gilberto Islas</creator><creator>Floriano, Gloria Navarrete</creator><creator>Salomón, Edith Guillen</creator><creator>Fernández, Obdulia Texon</creator><creator>Duarte, Silvia Cruz</creator><creator>Salazar, Juan Carlos Romo</creator><creator>Ruiz, Claudia Elsa Pérez</creator><creator>Salas, Sara de Jesús López</creator><creator>Amaya, Lizbeth Benítez</creator><creator>Gallardo, Javier Nahum Zapata</creator><general>Universidad del Valle - Facultad de Salud</general><general>Universidad del Valle</general><scope>RBI</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>5PM</scope></search><sort><creationdate>20160930</creationdate><title>Health care utilization of mexican patients with medically unexplained physical symptoms</title><author>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 ; Ruz, Félix Gilberto Islas ; Floriano, Gloria Navarrete ; Salomón, Edith Guillen ; Fernández, Obdulia Texon ; Duarte, Silvia Cruz ; Salazar, Juan Carlos Romo ; Ruiz, Claudia Elsa Pérez ; Salas, Sara de Jesús López ; Amaya, Lizbeth Benítez ; Gallardo, Javier Nahum Zapata</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b344t-30f7985b06f2b8ef804b5e213be32707b86ce028b1c63a66cd7139140c6a64373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>ambulatory care</topic><topic>atención ambulatoria</topic><topic>atención primaria de salud</topic><topic>Chi-Square Distribution</topic><topic>Cross-Sectional Studies</topic><topic>family medicine</topic><topic>Female</topic><topic>health care institutions</topic><topic>health care services</topic><topic>Humans</topic><topic>instituciones de salud</topic><topic>Male</topic><topic>Medically Unexplained Symptoms</topic><topic>medicina familiar</topic><topic>Mexico - epidemiology</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>physician-patient relations</topic><topic>Prevalence</topic><topic>primary health care</topic><topic>relación medico-paciente</topic><topic>Retrospective Studies</topic><topic>servicios de salud</topic><topic>somatization</topic><topic>Somatization disorder</topic><topic>Transtorno de somatización, somatización</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>González, Azucena Maribel Rodriguez</creatorcontrib><creatorcontrib>Aranda, José Manuel Ramírez</creatorcontrib><creatorcontrib>Reséndiz, Homero de los Santos</creatorcontrib><creatorcontrib>Duarte, María Yolanda Lara</creatorcontrib><creatorcontrib>Zanella, Santiago Oscar Pazaran</creatorcontrib><creatorcontrib>López, Jafet Felipe Méndez</creatorcontrib><creatorcontrib>Alfaro, Issa Gil</creatorcontrib><creatorcontrib>Ruz, Félix Gilberto Islas</creatorcontrib><creatorcontrib>Floriano, Gloria Navarrete</creatorcontrib><creatorcontrib>Salomón, Edith Guillen</creatorcontrib><creatorcontrib>Fernández, Obdulia Texon</creatorcontrib><creatorcontrib>Duarte, Silvia Cruz</creatorcontrib><creatorcontrib>Salazar, Juan Carlos Romo</creatorcontrib><creatorcontrib>Ruiz, Claudia Elsa Pérez</creatorcontrib><creatorcontrib>Salas, Sara de Jesús López</creatorcontrib><creatorcontrib>Amaya, Lizbeth Benítez</creatorcontrib><creatorcontrib>Gallardo, Javier Nahum Zapata</creatorcontrib><collection>Bioline International</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Colombia medica (Cali, Colombia)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>González, Azucena Maribel Rodriguez</au><au>Aranda, José Manuel Ramírez</au><au>Reséndiz, Homero de los Santos</au><au>Duarte, María Yolanda Lara</au><au>Zanella, Santiago Oscar Pazaran</au><au>López, Jafet Felipe Méndez</au><au>Alfaro, Issa Gil</au><au>Ruz, Félix Gilberto Islas</au><au>Floriano, Gloria Navarrete</au><au>Salomón, Edith Guillen</au><au>Fernández, Obdulia Texon</au><au>Duarte, Silvia Cruz</au><au>Salazar, Juan Carlos Romo</au><au>Ruiz, Claudia Elsa Pérez</au><au>Salas, Sara de Jesús López</au><au>Amaya, Lizbeth Benítez</au><au>Gallardo, Javier Nahum Zapata</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health care utilization of mexican patients with medically unexplained physical symptoms</atitle><jtitle>Colombia medica (Cali, Colombia)</jtitle><addtitle>Colomb Med (Cali)</addtitle><date>2016-09-30</date><risdate>2016</risdate><volume>47</volume><issue>3</issue><spage>155</spage><epage>159</epage><pages>155-159</pages><issn>0120-8322</issn><eissn>1657-9534</eissn><abstract><![CDATA[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.
Objetivo: Determinar la prevalencia de Síntomas Físicos
Médicamente No Explicables y las características y uso de los
servicios de salud entre el grupo de pacientes con Síntomas
Físicos Médicamente No Explicables, y el grupo con otras
enfermedades. Métodos: Estudio transversal, retroprospectivo y
multicéntrico. Se incluyeron a 1,043 pacientes mayores de 18
años, en 30 unidades de atención primaria de una
institución gubernamental en salud, en 11 estados de la
República Mexicana, atendidos por 39 médicos familiares. Se
estimó la prevalencia de Síntomas Físicos Medicamente No
Explicables y se compararon los dos grupos con y sin estos
síntomas, en cuanto al uso de medicamentos, estudios de
laboratorio, de gabinete, incapacidades y referencias en los
últimos seis meses. El grupo de Síntomas Físicos
Médicamente No Explicables fue diagnosticado por el Patient Health
Questionnaire (son los síntomas físicos más
comúnmente referidos por estos pacientes en el primer nivel de
atención), además de criterios diagnósticos de Reid et
al. Se excluyeron urgencias o con enfermedad terminal. Se utilizó
prueba Chi cuadrado con p <0.05 para significancia estadística.
Resultados: El 7.0% (73) se diagnosticó como Síntomas
Físicos Médicamente No Explicables, la mayoría mujeres
(91.8%); el síntoma predominante pertenece al sistema
gastrointestinal con 76.7% (56). Este grupo demandó mayor uso de
estudios de gabinete y referencias a otros servicios (media 1.1 vs.
0.5; p <0.0001 y 0.8 vs 0.6; p <0.01, respectivamente).
Conclusiones: La prevalencia de Síntomas Físicos
Médicamente No Explicables fue baja, pero con impacto
significativo en el uso de algunos servicios de salud. Esto pudiera
representar un mayor costo comparado con otro grupo de pacientes.]]></abstract><cop>Colombia</cop><pub>Universidad del Valle - Facultad de Salud</pub><pmid>27821895</pmid><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0120-8322 |
| ispartof | Colombia medica (Cali, Colombia), 2016-09, Vol.47 (3), p.155-159 |
| issn | 0120-8322 1657-9534 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5091274 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; Bioline International; PubMed Central |
| subjects | ambulatory care atención ambulatoria atención primaria de salud Chi-Square Distribution Cross-Sectional Studies family medicine Female health care institutions health care services Humans instituciones de salud Male Medically Unexplained Symptoms medicina familiar Mexico - epidemiology Middle Aged Original Patient Acceptance of Health Care - statistics & numerical data physician-patient relations Prevalence primary health care relación medico-paciente Retrospective Studies servicios de salud somatization Somatization disorder Transtorno de somatización, somatización |
| title | Health care utilization of mexican patients with medically unexplained physical symptoms |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-04T05%3A52%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_bioli&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Health%20care%20utilization%20of%20mexican%20patients%20with%20medically%20unexplained%20physical%20symptoms&rft.jtitle=Colombia%20medica%20(Cali,%20Colombia)&rft.au=Gonz%C3%A1lez,%20Azucena%20Maribel%20Rodriguez&rft.date=2016-09-30&rft.volume=47&rft.issue=3&rft.spage=155&rft.epage=159&rft.pages=155-159&rft.issn=0120-8322&rft.eissn=1657-9534&rft_id=info:doi/&rft_dat=%3Cpubmed_bioli%3E27821895%3C/pubmed_bioli%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/27821895&rfr_iscdi=true |