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Integrated care model for patients with functional somatic symptom disorder - a co-produced stakeholder exploration with recommendations for best practice.
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- معلومة اضافية
- المصدر:
Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
- بيانات النشر:
Original Publication: London : BioMed Central, [2001-
- الموضوع:
- نبذة مختصرة :
Background: Functional somatic symptoms (FFS) and bodily distress disorders are highly prevalent across all medical settings. Services for these patients are dispersed across the health care system with minimal conceptual and operational integration, and patients do not currently access therapeutic offers in significant numbers due to a mismatch between their and professionals' understanding of the nature of the symptoms. New service models are urgently needed to address patients' needs and to align with advances in aetiological evidence and diagnostic classification systems to overcome the body-mind dichotomy.
Method: A panel of clinical experts from different clinical services involved in providing aspects of health care for patients with functional symptoms reviewed the current care provision. This review and the results from a focus group exploration of patients with lived experience of functional symptoms were explored by the multidisciplinary expert group, and the conclusions are summarised as recommendations for best practice.
Results: The mapping exercise and multidisciplinary expert consultation revealed five themes for service improvement and pathway development: time/access, communication, barrier-free care, choice and governance. Service users identified four meta-themes for best practice recommendations: focus on healthcare professional communication and listening skills as well as professional attributes and knowledge base to help patients being both believed and understood in order to accept their condition; systemic and care pathway issues such as stronger emphasis on primary care as the first point of contact for patients, resources to reduce the length of the patient journey from initial assessment to diagnosis and treatment.
Conclusion: We propose a novel, integrated care pathway for patients with 'functional somatic disorder', which delivers care according to and working with patients' explanatory beliefs. The therapeutic model should operate based upon an understanding of the embodied nature of patient's complaints and provide flexible access points to the care pathway.
(© 2024. The Author(s).)
- References:
Front Psychiatry. 2018 May 14;9:151. (PMID: 29867596)
Br J Gen Pract. 2017 Mar;67(656):106-107. (PMID: 28232334)
Front Psychol. 2020 Aug 12;11:1707. (PMID: 32903365)
SAGE Open Med. 2016 Sep 01;4:2050312116666217. (PMID: 27635250)
J R Soc Med. 2016 Oct;109(10):364-366. (PMID: 27729592)
J Psychosom Res. 2016 Sep;88:60-67. (PMID: 27455914)
Psychiatr Bull (2014). 2014 Jun;38(3):102-7. (PMID: 25237518)
Clin Med (Lond). 2021 Jan;21(1):13-18. (PMID: 33479063)
Psychosom Med. 2018 Jun;80(5):422-431. (PMID: 29621046)
BMC Med. 2020 Mar 3;18(1):34. (PMID: 32122350)
Br J Psychiatry. 2007 Dec;191:536-42. (PMID: 18055958)
PLoS One. 2018 Oct 15;13(10):e0205278. (PMID: 30321193)
Ment Health Fam Med. 2010 Jun;7(2):71-84. (PMID: 22477925)
BJGP Open. 2017 Oct 04;1(4):bjgpopen17X101121. (PMID: 30564684)
BMC Psychol. 2020 Feb 05;8(1):13. (PMID: 32020880)
Ment Health Fam Med. 2008 Sep;5(3):139-48. (PMID: 22477862)
BMJ Open. 2019 Jul 2;9(7):e027922. (PMID: 31270115)
Psychother Psychosom. 2012;81(5):265-75. (PMID: 22832397)
Psychother Psychosom. 2023;92(1):21-26. (PMID: 36566743)
Patient Educ Couns. 2019 Sep;102(9):1662-1671. (PMID: 31023608)
Ment Health Fam Med. 2010 Dec;7(4):209-21. (PMID: 22477945)
BMC Psychiatry. 2018 Oct 22;18(1):346. (PMID: 30348134)
BMC Psychiatry. 2019 Apr 23;19(1):120. (PMID: 31014294)
Scand J Prim Health Care. 2005 Mar;23(1):3-10. (PMID: 16025867)
Curr Treat Options Neurol. 2022;24(2):77-97. (PMID: 35370394)
Ment Health Fam Med. 2010 Dec;7(4):223-31. (PMID: 22477946)
Cochrane Database Syst Rev. 2014 Nov 01;(11):CD011142. (PMID: 25362239)
PLoS One. 2015 Oct 13;10(10):e0140212. (PMID: 26461184)
- Contributed Indexing:
Keywords: Bodily distress disorder; Body-oriented psychological therapy; Embodiment; Functional somatic symptoms and disorders; Medically unexplained symptoms; Psychosomatic medicine; Somatic symptom disorder; Somatoform disorders
- الموضوع:
Date Created: 20240603 Date Completed: 20240604 Latest Revision: 20240607
- الموضوع:
20240607
- الرقم المعرف:
PMC11145802
- الرقم المعرف:
10.1186/s12913-024-11130-9
- الرقم المعرف:
38831287
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