Pain as a reason to visit the doctor:: a study in Finnish primary health care

被引:319
作者
Mäntyselka, P
Kumpusalo, E
Ahonen, R
Kumpusalo, A
Kauhanen, J
Viinamäki, H
Halonen, P
Takala, J
机构
[1] Univ Kuopio, Dept Publ Hlth & Gen Practice, FIN-70211 Kuopio, Finland
[2] Univ Kuopio, Dept Social Pharm, FIN-70211 Kuopio, Finland
[3] Kuopio Univ Hosp, Dept Psychiat, Kuopio 70211, Finland
关键词
pain; consultation; primary health care;
D O I
10.1016/S0304-3959(00)00361-4
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This study aims to demonstrate the prevalence of pain as a reason for seeing a physician in primary care. We also performed an analysis of the localization, duration and frequency of pains, as well as the diagnoses of patients having pain. A total of 28 physicians at 25 health centers in Finland collected the data, comprising 5646 patient visits. Pain was identified as the reason for 2237 (40%) of the visits. The most common localizations were in the lower back, abdomen and head. One-fifth of the pain patients had experienced pain for over six months. Analysis of the diagnoses revealed half of the pains to be musculoskeletal. Patients experienced considerable limitations in Various activities of life due to pain. A quarter of the pain patients of active working age received sick leave. Our results confirm that pain is a major primary health care problem, which has an enormous impact on public health. (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.
引用
收藏
页码:175 / 180
页数:6
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