Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Wiener Medizinische Wochenschrift 7-8/2014

01.04.2014 | main topic

Health care utilisation in subjects with osteoarthritis, chronic back pain and osteoporosis aged 65 years and more: mediating effects of limitations in activities of daily living, pain intensity and mental diseases

verfasst von: Tanja Alexandra Stamm, Karin Pieber, Gerhard Blasche, Thomas Ernst Dorner

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 7-8/2014

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

Musculoskeletal diseases (MDs) have major consequences for the individual, and also for society and may thus lead to increased use of health care. It was the aim of this study to explore health care utilisation in patients with self-reported osteoarthritis, chronic back pain or osteoporosis compared with people of the same age without those diseases, based on data of the Austrian health interview survey including 3,097 subjects aged ≥ 65 years. Patients with MDs in our study visited a general practitioner (GP) and were hospitalised significantly more often compared with persons without the respective diseases. Problems in the activities of daily living (ADLs), pain intensity and anxiety/depression influenced GP consultations. Complex factors explain the higher health care utilisation in subjects with MDs in our study. Our results indicate that integrated strategies are needed to manage those patients, which should focus on management of ADL problems, pain and mental health.
Literatur
3.
Zurück zum Zitat Boelens C, Hekman EE, Verkerke GJ. Risk factors for falls of older citizens. Technol Health Care. 2013;21(5):521–33. PubMed Boelens C, Hekman EE, Verkerke GJ. Risk factors for falls of older citizens. Technol Health Care. 2013;21(5):521–33. PubMed
4.
Zurück zum Zitat Meyer T, Cooper J, Raspe H. Disabling low back pain and depressive symptoms in the community-dwelling elderly: a prospective study. Spine (Phila Pa 1976). 2007;32:2380–6. CrossRef Meyer T, Cooper J, Raspe H. Disabling low back pain and depressive symptoms in the community-dwelling elderly: a prospective study. Spine (Phila Pa 1976). 2007;32:2380–6. CrossRef
5.
6.
Zurück zum Zitat Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002;27:109–20. CrossRef Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002;27:109–20. CrossRef
7.
Zurück zum Zitat Carstensen J, Andersson D, Andre M, Engstrom S, Magnusson H, Borgquist LA. How does comorbidity influence healthcare costs? A population-based cross-sectional study of depression, back pain and osteoarthritis. BMJ Open. 2012;2:e000809. PubMedCentralPubMedCrossRef Carstensen J, Andersson D, Andre M, Engstrom S, Magnusson H, Borgquist LA. How does comorbidity influence healthcare costs? A population-based cross-sectional study of depression, back pain and osteoarthritis. BMJ Open. 2012;2:e000809. PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Choong P, Brooks P. Achievements during the Bone and Joint Decade 2000–2010. Best Pract Res Clin Rheumatol. 2012;26:173–81. PubMedCrossRef Choong P, Brooks P. Achievements during the Bone and Joint Decade 2000–2010. Best Pract Res Clin Rheumatol. 2012;26:173–81. PubMedCrossRef
9.
Zurück zum Zitat Woolf AD, Erwin J, March L. The need to address the burden of musculoskeletal conditions. Best Pract Res Clin Rheumatol. 2012;26:183–224. PubMedCrossRef Woolf AD, Erwin J, March L. The need to address the burden of musculoskeletal conditions. Best Pract Res Clin Rheumatol. 2012;26:183–224. PubMedCrossRef
10.
Zurück zum Zitat Dorner T, Weichselbaum E, Lawrence K, Viktoria SK, Rieder A. Austrian Osteoporosis Report: epidemiology, lifestyle factors, public health strategies. Wien Med Wochenschr. 2009;159:221–9. PubMedCrossRef Dorner T, Weichselbaum E, Lawrence K, Viktoria SK, Rieder A. Austrian Osteoporosis Report: epidemiology, lifestyle factors, public health strategies. Wien Med Wochenschr. 2009;159:221–9. PubMedCrossRef
11.
Zurück zum Zitat Dorner TE, Stein KV. Prevalence and status quo of osteoarthritis in Austria. Analysis of epidemiological and social determinants of health in a representative cross-sectional survey. Wien Med Wochenschr. 2013;163:206–11. PubMedCrossRef Dorner TE, Stein KV. Prevalence and status quo of osteoarthritis in Austria. Analysis of epidemiological and social determinants of health in a representative cross-sectional survey. Wien Med Wochenschr. 2013;163:206–11. PubMedCrossRef
12.
Zurück zum Zitat WHO. WHO Technical Report Series No. 9: The burden of musculoskeletal conditions at the start of the new millenium. Geneva: World Health Organization; 2003. WHO. WHO Technical Report Series No. 9: The burden of musculoskeletal conditions at the start of the new millenium. Geneva: World Health Organization; 2003.
13.
Zurück zum Zitat Croft P, Porcheret M, Peat G. Managing osteoarthritis in primary care: the GP as public health physician and surgical gatekeeper. Br J Gen Pract. 2011;61:485–6. PubMedCentralPubMedCrossRef Croft P, Porcheret M, Peat G. Managing osteoarthritis in primary care: the GP as public health physician and surgical gatekeeper. Br J Gen Pract. 2011;61:485–6. PubMedCentralPubMedCrossRef
14.
Zurück zum Zitat Hoffmann K, Stein KV. Maier M, Rieder A, Dorner TE. Access points to the different levels of health care and demographic predictors in a country without a gatekeeping system. Results of a cross-sectional study from Austria. Eur J Public Health. 2013;23(6):933–9. PubMedCrossRef Hoffmann K, Stein KV. Maier M, Rieder A, Dorner TE. Access points to the different levels of health care and demographic predictors in a country without a gatekeeping system. Results of a cross-sectional study from Austria. Eur J Public Health. 2013;23(6):933–9. PubMedCrossRef
15.
Zurück zum Zitat Statistik Austria, editor. im Auftrag von Bundesministerium für Gesundheit FuJ: Österreichische Gesundheitsbefragung 2006/07. Hauptergebnisse und methodische Dokumentation. Vienna: Statistik Austria; 2007. Statistik Austria, editor. im Auftrag von Bundesministerium für Gesundheit FuJ: Österreichische Gesundheitsbefragung 2006/07. Hauptergebnisse und methodische Dokumentation. Vienna: Statistik Austria; 2007.
16.
Zurück zum Zitat Aromaa A, Koponen P, Tafforeau J, Vermeire C. Evaluation of health interview surveys and health examination surveys in the European Union. Eur J Public Health. 2003;13:67–72. PubMedCrossRef Aromaa A, Koponen P, Tafforeau J, Vermeire C. Evaluation of health interview surveys and health examination surveys in the European Union. Eur J Public Health. 2003;13:67–72. PubMedCrossRef
17.
Zurück zum Zitat Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–82. PubMedCrossRef Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–82. PubMedCrossRef
18.
Zurück zum Zitat Stamm TA, Lovelock L, Stew G, Nell V, Smolen JS, Jonsson H, Sadlo G, Machold K. I have mastered the challenge of living with a chronic disease: the life stories of people with rheumatoid arthritis. Qual Health Res. 2008;18(5):658–69. PubMedCrossRef Stamm TA, Lovelock L, Stew G, Nell V, Smolen JS, Jonsson H, Sadlo G, Machold K. I have mastered the challenge of living with a chronic disease: the life stories of people with rheumatoid arthritis. Qual Health Res. 2008;18(5):658–69. PubMedCrossRef
19.
Zurück zum Zitat Pieber K, Stein KV, Herceg M, Rieder A, Fialka-Moser V, Dorner TE. Determinants of satisfaction with individual health in male and female patients with chronic low back pain. J Rehabil Med. 2012;44:658–63. PubMedCrossRef Pieber K, Stein KV, Herceg M, Rieder A, Fialka-Moser V, Dorner TE. Determinants of satisfaction with individual health in male and female patients with chronic low back pain. J Rehabil Med. 2012;44:658–63. PubMedCrossRef
20.
Zurück zum Zitat Lambeek LC, Bosmans JE, van Royen BJ, van Tulder MW, van Mechelen W, Anema JR. Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial. BMJ. 2010;341:6414. CrossRef Lambeek LC, Bosmans JE, van Royen BJ, van Tulder MW, van Mechelen W, Anema JR. Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial. BMJ. 2010;341:6414. CrossRef
21.
Zurück zum Zitat Stamm T. Medical versus bio-psycho-social model: possible reasons why the ICF is hardly used in Austria from an occupational therapy perspective. WFOT Bull. 2009;59:70–5. Stamm T. Medical versus bio-psycho-social model: possible reasons why the ICF is hardly used in Austria from an occupational therapy perspective. WFOT Bull. 2009;59:70–5.
Metadaten
Titel
Health care utilisation in subjects with osteoarthritis, chronic back pain and osteoporosis aged 65 years and more: mediating effects of limitations in activities of daily living, pain intensity and mental diseases
verfasst von
Tanja Alexandra Stamm
Karin Pieber
Gerhard Blasche
Thomas Ernst Dorner
Publikationsdatum
01.04.2014
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 7-8/2014
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-014-0262-4