The resource utilization of medically unexplained physical symptoms

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dc.contributor.author Lee, K en
dc.contributor.author Johnson, Malcolm en
dc.contributor.author Harris, J en
dc.contributor.author Sundram, Frederick en
dc.date.accessioned 2017-05-18T23:57:27Z en
dc.date.available 2016-07-26 en
dc.date.issued 2016-09-01 en
dc.identifier.citation SAGE Open Medicine, 01 September 2016, 4, 1 - 7 en
dc.identifier.issn 2050-3121 en
dc.identifier.uri http://hdl.handle.net/2292/32948 en
dc.description.abstract Objectives: As patients with medically unexplained physical symptoms may present frequently to hospital settings and receive potentially unnecessary investigations and treatments, we aimed to assess the frequency and type of medically unexplained physical symptoms presentations to clinical services and estimate the associated direct healthcare costs. Methods: This study was undertaken at the largest district health board in New Zealand. All patients with a diagnosed presentation of medically unexplained physical symptoms in 2013 were identified using the district health board’s clinical coding system. The clinical records (medical and psychiatric) of 49 patients were examined in detail to extricate all medically unexplained physical symptoms–related secondary care activity within 6 months before or after their medically unexplained physical symptoms presentation. Standardised national costing methodology was used to calculate the associated healthcare costs. Results: In all, 49% of patients attended hospital settings at least twice during 2013. The majority of presentations were for neurological or respiratory concerns. The total cost for the sample was GBP89,636 (median: GBP1,221). Costs were most significant in the areas of inpatient admissions and emergency care. Conclusion: Medically unexplained physical symptoms result in frequent presentations to hospital settings. The costs incurred are substantial and comparable to the costs of chronic medical conditions with identifiable pathology. Improving recognition and management of medically unexplained physical symptoms has potential to offer more appropriate and cost-effective healthcare outcomes. en
dc.language English en
dc.publisher SAGE Publications en
dc.relation.ispartofseries SAGE Open Medicine en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from https://us.sagepub.com/en-us/nam/pure-gold-open-access-journals en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by-nc/3.0/ en
dc.title The resource utilization of medically unexplained physical symptoms en
dc.type Journal Article en
dc.identifier.doi 10.1177/2050312116666217 en
pubs.begin-page 1 en
pubs.volume 4 en
dc.description.version VoR - Version of Record en
dc.identifier.pmid 27635250 en
pubs.author-url http://journals.sagepub.com/doi/10.1177/2050312116666217 en
pubs.end-page 7 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 516407 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Psychological Medicine Dept en
dc.identifier.eissn 2050-3121 en
pubs.record-created-at-source-date 2016-01-11 en
pubs.dimensions-id 27635250 en


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