Health care utilization of somatizing patients in a pulmonary subspecialty clinic.
Somatizing patients present with medically unexplained physical complaints, repeat clinic visits, and a history of prior extensive testing.
The authors reviewed 1,908 pulmonary consultation reports for 1990-1991 for evidence of somatization, yielding a group of 41 (2%) patients for study.
Billing records were obtained and were compared to asthmatic patients and those in a health maintenance organization (HMO).
Health care costs for the somatizing patients were significantly higher than the average cost for HMO patients and comparable to the health costs for patients with asthma.
Half of the somatizing patients had psychological problems indicated in their medical records, but few received psychiatric referral or treatment.
Management of the somatizing patient within the specialty clinic and on-site psychiatric treatment are suggested as ways to decrease unnecessary health care utilization.
Mots-clés Pascal : Plainte somatique, Service hospitalier, Pneumologie, Conversion somatique, Diagnostic, Utilisation, Service santé, Analyse coût, Economie santé, Consultation psychiatrique, Homme, Trouble somatoforme
Mots-clés Pascal anglais : Somatic complaint, Hospital ward, Pneumology, Somatic conversion, Diagnosis, Use, Health service, Cost analysis, Health economy, Psychiatric consultation, Human, Somatoform disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0473354
Code Inist : 002B18C10. Création : 01/03/1996.