The use of healthcare services and disabling chronic pain: results from the cross-sectional population-based Andalusian Health Survey.

Background Several factors seem to be related to the use of healthcare services, and chronic pain (CP) is among these characteristics. The objective is to describe the number of visits to a doctor's surgery or emergency rooms, and the periods of hospitalization; to identify characteristics associate...

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Published in:European Journal of Public Health Vol. 34; no. 4; pp. 639 - 646
Main Authors: Cáceres-Matos, Rocío, Gil-García, Eugenia, Vázquez-Santiago, Soledad, Cabrera-León, Andrés
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Aug2024
Online Access:View this record in EBSCOhost
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      dt: Aug2024
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      pub: Oxford University Press / USA
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        atl: The use of healthcare services and disabling chronic pain: results from the cross-sectional population-based Andalusian Health Survey.
      aug:
        au:
          Cáceres-Matos, Rocío
          Gil-García, Eugenia
          Vázquez-Santiago, Soledad
          Cabrera-León, Andrés
        affil: Faculty of Nursing, Physiotherapy and Podiatry, University of Seville , Seville, Spain
      sug:
        subj:
          Health Services Utilization
          Chronic Pain Therapy
          Chronic Pain Prevention and Control
          Office Visits Evaluation
          Surgery, Operative
          Emergency Service
          Hospitalization
          Needs Assessment
          Human
          Cross Sectional Studies
          Disease Attributes
          Adolescence
          Adult
          Middle Age
          Aged
          Spain
          Logistic Regression
          Male
          Female
          Health Services Needs and Demand
          Chronic Pain Surgery
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background Several factors seem to be related to the use of healthcare services, and chronic pain (CP) is among these characteristics. The objective is to describe the number of visits to a doctor's surgery or emergency rooms, and the periods of hospitalization; to identify characteristics associated with frequent healthcare use, including disabling chronic pain (DCP) and non-disabling chronic pain (n-DCP). Methods Representative population-based cross-sectional study of 6569 people older than 16 years from southern Spain was collected. The frequency of visits to a doctor's surgery or emergency rooms and periods of hospitalization were defined as at or above the 90th percentile. Binary logistic regression analyses were conducted separately on women and men to identify characteristics associated with being frequent visitors. Results People with DCP are more frequent visitors to a doctor's surgery and emergency rooms and endure longer periods of hospitalization compared to people with n-DCP and without pain. In logistic regression models, people with DCP are twice as likely to over-visit a doctor's surgery; to endure longer periods of hospitalization and more visits to an emergency room service. No relationship was found in n-DCP. Conclusions Disability seems to modulate a greater use of health services among the population with CP, doubling it when compared to n-DCP and n-CP, both in women and men. Understanding the role of disability in the use of healthcare services for individuals with CP allows for the identification of needs and strategies to optimize resources.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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