Difficulties and Solutions for Hierarchical Diagnosis and Treatment of Elderly Patients with Chronic Pain in Community Hospitals
1.Ultrasound Center,the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China
2.Department of Pain Management,the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China
3.Wudang District Xintian Community Health Center,Guiyang 550000,China
4.Guian New Area University Town Health Center,Guiyang 550000,China
*Corresponding author:WANG Lin,Chief physician;E-mail:guobingbs@sina.com
FU Lei,WANG Lin,LI Bin, et al. Difficulties and Solutions for Hierarchical Diagnosis and Treatment of Elderly Patients with Chronic Pain in Community Hospitals[J]. Chinese General Practice, 2019, 22(8): 882-887. DOI: 10.12114/j.issn.1007-9572.2018.00.389.
付蕾,王林,李斌等. 社区医院老年慢性疼痛分级诊疗中的困难与对策探讨[J]. 中国全科医学, 2019, 22(8): 882-887. DOI: 10.12114/j.issn.1007-9572.2018.00.389.
[1]刘文睿,朱焱.贵阳市主城区全科医生团队社区慢性病服务流程及存在问题研究[J].中国全科医学,2016,19(28):3476-3480.DOI:10.3969/j.issn.1007-9572.2016.28.019.
LIU W R,ZHU Y.Service process and existing problems of community chronic disease of general practitioner team in main urban area of Guiyang City[J].Chinese General Practice,2016,19(28):3476-3480.DOI:10.3969/j.issn.1007-9572.2016.28.019.
[2]辜滟翔,赫习君,陈长香,等.河北省城乡居家老年人慢性病患病现状及其影响因素[J].中国公共卫生,2015,31(2):132-136.DOI:10.11847/zgggws2015-31-02-02.
GU Y X,HE X J,CHEN C X,et al.Prevalence and influential factors of chronic diseases among community elderly people in Hebei Province[J].Chinese Journal of Public Health,2015,31(2):132-136.DOI:10.11847/zgggws2015-31-02-02.
[3]冯丽娜,陈长香,赫习君,等.河北省社区老年人慢性病患病影响因素及其就医用药行为调查分析[J].中国全科医学,2014,17(29):3477-3479,3483.
FENG L N,CHEN C X,HE X J,et al.Factors influencing on chronic diseases in community elderly and their behaviors of receiving medical treatment and drug use[J].Chinese General Practice,2014,17(29):3477-3479,3483.
[4]MOORE A,PATTERSON C,NAIR K,et al.Minding the gap:prioritization of care issues among nurse practitioners,family physicians and geriatricians when caring for the elderly[J].J Interprof Care,2015,29(4):401-403.DOI:10.3109/13561820.2014.966352.
[5]郑天源,侯进才,卢锦玲,等.北京市朝阳区慢性疼痛疾病流行病学调查报告[J].中国疼痛医学杂志,2010,16(6):339-341.DOI:10.3969/j.issn.1006-9852.2010.06.006.
ZHENG T Y,HOU J C,LU J L,et al.Chaoyang District,Beijing disease epidemiological survey of chronic pain report[J].Chinese Journal of Pain Medicine,2010,16(6):339-341.DOI:10.3969/j.issn.1006-9852.2010.06.006.
[6]曾宪明,刘宝,漆海如,等.中山市社区慢性疼痛诊治现状分析[J].社区医学杂志,2012,10(24):18-20.
[7]于耀清,陈军.疼痛医学教育中的问题与建议[J].中国高等医学教育,2012,27(10):40-41.
YU Y Q,CHEN J.Problems and suggestions in pain medical education[J].Higher Medical Education in China,2012,27(10):40-41.
[8]葛运运,徐静,周亚夫,等.我国全科医学发展历史与现状分析[J].中国全科医学,2013,16(19):2201-2203.
GE Y Y,XU J,ZHOU Y F,et al.History and present situation of development of general practice in China[J].Chinese General Practice,2013,16(19):2201-2203.
[9]马忠立,张晓莉,樊碧发.疼痛医学的现状和进展[J].社区医学杂志,2010,8(3):32-33.
[10]刘森,周一新,周乙雄.“骨关节十年”与康复医学[J].现代康复,2001,3(5):7-10.DOI:10.3321/j.issn:1673-8225.2001.06.001.
LIU S,ZHOU Y X,ZHOU Y X.“Decade of bones and joints”and rehabilitation medicine[J].Modern Rehabilitation,2001,3(5):7-10.DOI:10.3321/j.issn:1673-8225.2001.06.001.
[11]DUFOUR S P,BROWN J,DEBORAH LUCY S.Integrating physiotherapists within primary health care teams:perspectives of family physicians and nurse practitioners[J].J Interprof Care,2014,28(5):460-465.DOI:10.3109/13561820.2014.915210.
[12]TAUBEN D,崔滨,胡永生.慢性疼痛的管理:可评估的阶梯式保健模式[J].中国疼痛医学杂志,2013,19(5):257-258.
TAUBEN D,CUI B,HU Y S.Management of chronic pain:an evaluable step-by-step care model[J].Chinese Journal of Pain Medicine,2013,19(5):257-258.
[13]戴力扬,贾连顺.老年人腰背痛原因的临床调查[J].颈腰痛杂志,1995,16(3):177-179.
[14]赵序利,赵松云,孙涛,等.疼痛临床误诊、漏诊病例及原因分析[J].中国疼痛医学杂志,2005,11(3):136-137,139.DOI:10.3969/j.issn.1006-9852.2005.03.003.
ZHAO X L,ZHAO S Y,SUN T,et al.Reasons of misdiagnosis in pain clinic[J].Chinese Journal of Pain Medicine,2005,11(3):136-137,139.DOI:10.3969/j.issn.1006-9852.2005.03.003.
[15]陶红兵,郭石林.双向转诊面临的问题及患者合理分流机制的设想[J].中国医院管理,2007,27(9):50-51.DOI:10.3969/j.issn.1001-5329.2007.09.023.
TAO H B,GUO S L.The problems of dual referral and the design of patients divert mechanism[J].Chinese Hospital Management,2007,27(9):50-51.DOI:10.3969/j.issn.1001-5329.2007.09.023.
[16]彭静,邢辉,张铂,等.臭氧治疗腰椎间盘突出症104例疗效分析[J].介入放射学杂志,2010,19(2):114-116.DOI:10.3969/j.issn.1008-794X.2010.02.007.
PENG J,XING H,ZHANG B,et al.Ozone injection for the treatment of lumbar disc herniation:a therapeutic analysis of 104 cases[J].Journal of Interventional Radiology,2010,19(2):114-116.DOI:10.3969/j.issn.1008-794X.2010.02.007.
[17]付强.促进分级诊疗模式建立的策略选择[J].中国卫生经济,2015,34(2):28-31.DOI:10.7664/CHE20150206.
FU Q.Strategic choice for promoting hierarchical treatment model[J].Chinese Health Economics,2015,34(2):28-31.DOI:10.7664/CHE20150206.
[18]谢徐萍,袁冬梅,林华,等.临床疼痛护理记录及疼痛管理现状调查与分析[J].中国疼痛医学杂志,2015,21(12):959-960.DOI:10.3969/j.issn.1006-9852.2015.12.022.
XIE X P,YUAN D M,LIN H,et al.Clinical pain management records and pain management status quo survey and analysis[J].Chinese Journal of Pain Medicine,2015,21(12):959-960.DOI:10.3969/j.issn.1006-9852.2015.12.022.
[19]徐城,杨晓秋,刘丹彦.常用的疼痛评估方法在临床疼痛评估中的作用[J].中国疼痛医学杂志,2015,21(3):210-212.DOI:10.3969/j.issn.1006-9852.2015.03.011.
XU C,YANG X Q,LIU D Y.Roles of commonly used pain assessment methods in clinical pain assessment[J].Chinese Journal of Pain Medicine,2015,21(3):210-212.DOI:10.3969/j.issn.1006-9852.2015.03.011.
[20]佘瑞芳,朱晓丽,杨顺心.分级诊疗下基层医疗卫生机构的发展现状及建议[J].中国全科医学,2016,19(28):3413-3416.DOI:10.3969/j.issn.1007-9572.2016.28.006.
SHE R F,ZHU X L,YANG S X.Development status and suggestions of primary medical and health institutions under the circumstance of hierarchical diagnosis and treatment[J].Chinese General Practice,2016,19(28):3413-3416.DOI:10.3969/j.issn.1007-9572.2016.28.006.
[21]吴志军,简伟研.老年慢性病患者社区健康管理服务可获得性及社会决定因素研究[J].中国全科医学,2015,18(28):3469-3472.DOI:10.3969/j.issn.1007-9572.2015.28.020.
WU Z J,JIAN W Y.Availability of community health management services for elderly patients with chronic diseases and its social determinants[J].Chinese General Practice,2015,18(28):3469-3472.DOI:10.3969/j.issn.1007-9572.2015.28.020.
[22]邓永萍,宋汉聪,黄绍宽.养老院71例高龄老人慢性疼痛原因分析[J].中国疼痛医学杂志,2006,12(3):181-183.DOI:10.3969/j.issn.1006-9852.2006.03.019.
DENG Y P,SONG H C,HUANG S K.Analysis of the causes of chronic pain in 71 elderly people in nursing homes[J].Chinese Journal of Pain Medicine,2006,12(3):181-183.DOI:10.3969/j.issn.1006-9852.2006.03.019.
[23]刘国恩,官海静.分级诊疗与全科诊所:中国医疗供给侧改革的关键[J].中国全科医学,2016,19(22):2619-2624.DOI:10.3969/j.issn.1007-9572.2016.22.001.
LIU G E,GUAN H J.Hierarchical diagnosis and treatment and general practice clinics:key of China's health supply-side reform[J].Chinese General Practice,2016,19(22):2619-2624.DOI:10.3969/j.issn.1007-9572.2016.22.001.
[24]何权瀛.慢性病分级诊疗的整合医学观[J].医学与哲学,2017,38(8B):1-7.DOI:10.12014/j.issn.1002-0772.2017.08b.01.
HE Q Y.Effective prevention and control of chronic diseases by grading medical care through the guidance of integrated medical concepts[J].Medicine and Philosophy,2017,38(8B):1-7.DOI:10.12014/j.issn.1002-0772.2017.08b.01.
[25]CALCATERRA S L,DRABKIN A D,DOYLE R,et al.A qualitative study of hospitalists' perceptions of patient satisfaction metrics on pain management[J].Hosp Top,2017,95(1):18-26.DOI:10.1080/00185868.2017.1300479.
[26]杨华艳,程岚,杨卫彬,等.天气变化对类风湿性关节炎患者疼痛的影响[J].中国中医基础医学杂志,2010,16(9):829-831.