Who Is Most Burdened in Health Care? An Analysis of Responses to the ICAN Discussion Aid

Journal of the American Board of Family Medicine: JABFM

article

Kyle G. Steiger¹  Kasey R. Boehmer²  Molly C. Klanderman³  Aamena Mookadam⁴  Sethu Sandeep Koneru²  Victor M. Montori²  Martina Mookadam⁵ 

[1] Mayo Clinic Alix School of Medicine, Mayo Clinic College of Medicine and Science;Knowledge and Evaluation Research Unit, Mayo Clinic;Department of Quantitative Health Sciences, Mayo Clinic;Mayo Clinic;Department of Family Medicine, Mayo Clinic

关键词: Arizona;    Behavioral Medicine;    Burden of Illness;    Caregiver Burden;    Chronic Disease;    Clinical Medicine;    Communication;    Family Medicine;    ICAN Discussion Aid;    Mental Health;    Patient-Centered Care;    Shared Decision-Making;   

DOI  :  10.3122/jabfm.2022.220251R1

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Objective: To create a model based on patients’ characteristics that can predict the number of burdens reported using the ICAN Discussion Aid, to target use of this tool to patients likeliest to benefit.Patients and Methods: Six hundred thirty-five patients (aged ≥18 years) completed the ICAN Discussion Aid at a Scottsdale, Arizona, family medicine clinic. Patient characteristics were gathered from their health records. Regression trees with Poisson splitting criteria were used to model the data.Results: Our model suggests the patients with the most burdens had major depressive disorder, with twice as many overall burdens (personal plus health care burdens) than patients without depression. Patients with depression who were younger than 38 years had the highest number of personal burdens. A body mass index (BMI) of 26 or greater was associated with increased health care burden versus a BMI below 26.Conclusion: The number of burdens a patient will report on the ICAN Discussion Aid can be approximated based on certain patient characteristics. Adults with major depression, a BMI of 26 or greater, and younger age may have greater reported burdens on ICAN, but this finding needs to be validated in independent samples.

【 授权许可】

CC BY