دورية أكاديمية
أعرض في EDS

An interdisciplinary integrated specialized one-stop outpatient clinic for idiopathic intracranial hypertension - an assessment of sick leave, presenteeism, and health care utilization.

التفاصيل البيبلوغرافية
العنوان: An interdisciplinary integrated specialized one-stop outpatient clinic for idiopathic intracranial hypertension - an assessment of sick leave, presenteeism, and health care utilization.
المؤلفون: Bsteh G; Department of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. gabriel.bsteh@meduniwien.ac.at.; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria. gabriel.bsteh@meduniwien.ac.at., Macher S; Department of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria., Krajnc N; Department of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria., Marik W; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria.; Department of Neuroradiology, Medical University of Vienna, Vienna, Austria., Michl M; Department of Ophthalmology, Medical University of Vienna, Vienna, Austria., Müller N; Department of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria., Zaic S; Department of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria., Harreiter J; Division of Endocrinology, Department of Internal Medicine, Medical University of Vienna, Vienna, Austria., Novak K; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria.; Department of Neurosurgery, Medical University of Vienna, Vienna, Austria., Wöber C; Department of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.; Comprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria., Pemp B; Department of Ophthalmology, Medical University of Vienna, Vienna, Austria.
المصدر: The journal of headache and pain [J Headache Pain] 2024 May 07; Vol. 25 (1), pp. 73. Date of Electronic Publication: 2024 May 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100940562 Publication Model: Electronic Cited Medium: Internet ISSN: 1129-2377 (Electronic) Linking ISSN: 11292369 NLM ISO Abbreviation: J Headache Pain Subsets: MEDLINE
أسماء مطبوعة: Publication: [2018]- : [London, United Kingdom] : BioMed Central
Original Publication: Milano : Springer Verlag Italia, c2000-c2017.
مواضيع طبية MeSH: Sick Leave*/statistics & numerical data , Patient Acceptance of Health Care*/statistics & numerical data , Ambulatory Care Facilities*/statistics & numerical data , Presenteeism*/statistics & numerical data , Pseudotumor Cerebri*/therapy, Humans ; Female ; Male ; Adult ; Retrospective Studies ; Delivery of Health Care, Integrated/statistics & numerical data ; Middle Aged
مستخلص: Background: Management of idiopathic intracranial hypertension (IIH) is complex requiring contributions from multiple specialized disciplines. In practice, this creates considerable organizational and communicational challenges. To meet those challenges, we established an interdisciplinary integrated outpatient clinic for IIH with a central coordination and a one-stop- concept. Here, we aimed to evaluate effects of this concept on sick leave, presenteeism, and health care utilization.
Methods: In a retrospective cohort study, we compared the one-stop era with integrated care (IC, 1-JUL-2021 to 31-DEC-2022) to a reference group receiving standard care (SC, 1-JUL-2018 to 31-DEC-2019) regarding economic outcome parameters assessed over 6 months. Multivariate binary logistic regression models were used to adjust for confounders.
Results: Baseline characteristics of the IC group (n = 85) and SC group (n = 81) were comparable (female: 90.6% vs. 90.1%; mean age: 33.6 vs. 32.8 years, educational level: ≥9 years of education 60.0% vs. 59.3%; located in Vienna 75.3% vs. 76.5%). Compared to SC, the IC group showed significantly fewer days with sick leave or presenteeism (-5 days/month), fewer unscheduled contacts for IIH-specific problems (-2.3/month), and fewer physician or hospital contacts in general (-4.1 contacts/month). Subgroup analyses of patients with migration background and language barrier consistently indicated stronger effects of the IC concept in these groups.
Conclusions: Interdisciplinary integrated management significantly improves the burden of IIH in terms of sick leave, presenteeism and healthcare consultations - particularly in socioeconomically underprivileged patient groups.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Economic; Idiopathic intracranial hypertension; Management; Neurology; Neuroophthalmology; One-stop outpatient clinic; Outcome; Presenteeism
تواريخ الأحداث: Date Created: 20240507 Date Completed: 20240508 Latest Revision: 20240510
رمز التحديث: 20240510
مُعرف محوري في PubMed: PMC11075215
DOI: 10.1186/s10194-024-01780-9
PMID: 38714920
قاعدة البيانات: MEDLINE
الوصف
تدمد:1129-2377
DOI:10.1186/s10194-024-01780-9