Doctor shopping trend of patients before undergoing rotator cuff repair in Korea: a multicenter study.

IF 1.8 Q2 ORTHOPEDICS Clinics in Shoulder and Elbow Pub Date : 2024-09-01 Epub Date: 2024-08-06 DOI:10.5397/cise.2024.00381
Jong-Ho Kim, Nam Su Cho, Jin-Young Park, Yon-Sik Yoo, Joo Han Oh, Kyu Cheol Noh, Yong-Beom Lee, Ho Min Lee, Jin-Young Bang, Jung Youn Kim, Hyeon Jang Jeong, Tae Kang Lim
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Abstract

Background: This study aims to investigate the trend of doctor shopping among patients with rotator cuff tear (RCT) before undergoing surgery and to examine the relevance of these findings to the public.

Methods: A survey was conducted of 326 patients from 10 hospitals (male, 176; female, 150) who underwent arthroscopic rotator cuff repair (ARCR) for symptomatic RCT between September 2019 and February 2020. A questionnaire was used to obtain data regarding the type of medical care service, medical institutions visited before surgery, number of treatments received, and cost of treatment.

Results: A total of 326 patients (87%) received treatment at least once at another medical institution before visiting the hospital where the surgery was performed. Patients visited an average of 9.4 health providers or physicians for shoulder pain before visiting the hospital where surgery was performed. Among the 326 patients, 148 (45%) visited more than two medical institutions and spent an average of 641,983 Korean won (KRW; $466, 50,000-5,000,000 KRW) before surgery. Medical expenses before surgery were proportional to the number of medical institutions visited (P=0.002), symptom duration (P=0.002), and initial visual analog scale (VAS) pain score (P=0.007) but were not associated with sex, age, VAS pain score immediately before surgery, or RCT size.

Conclusions: Medical expense before ARCR was associated with the severity of preoperative pain and duration of symptoms. After onset of shoulder symptoms, patients should visit as soon as possible a hospital that has surgeons who specialize in shoulder repair to prevent unnecessary medical expense and proper treatment. Level of evidence: IV.

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韩国患者在接受肩袖修复术前看医生的趋势:一项多中心研究。
背景:调查肩袖撕裂症患者在接受手术前的就医趋势以及调查结果与公众的相关性:调查肩袖撕裂(RCT)患者在接受手术前的医生购物趋势,以及调查结果与公众的相关性:在2019年9月至2020年2月期间,对10家医院的326名因症状性肩袖撕裂而接受关节镜下肩袖修复术(ARCR)的患者(男性176人;女性150人)进行了调查。调查问卷用于获取有关医疗服务类型、术前就诊医疗机构、接受治疗次数和治疗费用的数据:共有 326 名患者(87%)在前往实施手术的医院之前至少在其他医疗机构接受过一次治疗。在前往实施手术的医院就诊之前,患者因肩部疼痛平均就诊过 9.4 次医疗机构或医生。在 326 名患者中,有 148 人(45%)在手术前就诊过两家以上的医疗机构,平均花费 641,983 韩元(466 美元,50,000-5,000,000 韩元)。术前医疗费用与就诊医疗机构数量(P=0.002)、症状持续时间(P=0.002)和初始视觉模拟量表(VAS)疼痛评分(P=0.007)成正比,但与性别、年龄、术前VAS疼痛评分或RCT规模无关:结论:ARCR 术前的医疗费用与术前疼痛的严重程度和症状持续时间有关。肩部症状出现后,患者应尽快到有肩部修复专业外科医生的医院就诊,以避免不必要的医疗费用和正确的治疗。
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
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