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Individuals with posttraumatic stress disorder (PTSD) symptoms engage in greater rates of health care utilization. Existing literature is limited, however, because the number of visits to health care providers is exclusively used as an outcome. Low-income women (N = 96) screening positive for PTSD symptoms (n = 23; 23.9%) were compared to those who did not (n = 73) on a range of health care utilization outcomes obtained through a chart review. Significant PTSD symptoms were associated with more complaints per visit, ordered labs, and prescribed medications—beyond the effects of age, depression symptoms, and chronic illness. Individuals with PTSD symptoms are a challenge to primary care as currently practiced. Collaboration with mental health professionals and specific primary care procedures to diagnose and treat PTSD are needed.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題 : 在低收入市區基層醫療中,創傷後壓力症症狀對醫療資源使用的影響。

撮要 : 有創傷後壓力症(PTSD)症狀的患者有較高醫療服務使用率,但是現存研究只使用醫療服務使用的次數作為結果,因而只有少量文獻。篩選患有PTSD症狀(n=23;23.9%)的低收入婦女(N=98)與沒有症狀者(n=73) 一起利用圖表覆查,比較兩者在一系列醫療服務使用的情況。顯著PTSD症狀與每次就診時較多投訴,更多化驗檢查,和更多處方藥物有關連,而這些關連與年紀、抑鬱症狀和慢性症病無關。患上PTSD症狀人士對基層醫療服務而言,是一大挑戰,所以加強與精神科醫療服務合作,及設立專屬基層醫療的診斷和治療PTSD的程序是必需的。

标题 : 在低收入市区基层医疗中,创伤后压力症症状对医疗资源使用的影响。

撮要 : 有创伤后压力症(PTSD)症状的患者有较高医疗服务使用率,但是现存研究只使用医疗服务使用的次数作为结果,因而只有少量文献。筛选患有PTSD症状(n=23;23.9%)的低收入妇女(N=98)与没有症状者(n=73) 一起利用图表覆查,比较两者在一系列医疗服务使用的情况。显著PTSD症状与每次就诊时较多投诉,更多化验检查,和更多处方药物有关连,而这些关连与年纪、抑郁症状和慢性症病无关。患上PTSD症状人士对基层医疗服务而言,是一大挑战,所以加强与精神科医疗服务合作,及设立专属基层医疗的诊断和治疗PTSD的程序是必需的。