The burden of atopic dermatitis in Australia: Medical care, treatment satisfaction, financial impact, long-term control and quality of life

IF 2.2 4区 医学 Q2 DERMATOLOGY
Lynita Howie MPhil, Kara Orevillo BSc, Michelle Tu BSc, Alan Schwartz PhD JD, Melanie Funk, Cheryl Talent, Korey Capozza MPH
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Abstract

Atopic dermatitis patients and caregivers experience a high physical, mental and financial burden in Australia. We outline how the current care model impacts disease management and patients' quality of life via a survey of 265 Australian patients and caregivers to capture the experience of managing atopic dermatitis (AD) in Australia. Patients report an unsatisfactory quality of life and a high burden of disease with poor long-term control and low treatment satisfaction. They also reported changing spending and saving patterns to fund medical care. Patient experience improves with more specialised care that incorporates shared decision-making and patient/caregiver training beyond the clinic visit. These results highlight the need for improved general practitioner (GP) education, expedited access to medical specialists, greater patient involvement in treatment choices and more financial assistance to improve the experience of Australian patients and caregivers.

澳大利亚特应性皮炎的负担:医疗护理、治疗满意度、经济影响、长期控制和生活质量。
在澳大利亚,特应性皮炎患者和护理人员在身体、精神和经济方面都承受着沉重的负担。我们通过对 265 名澳大利亚患者和护理人员进行调查,了解了澳大利亚特应性皮炎(AD)患者的管理经验,从而概述了当前的护理模式如何影响疾病管理和患者的生活质量。患者对生活质量不满意,疾病负担重,长期控制不佳,治疗满意度低。他们还报告说,为了支付医疗费用,他们改变了消费和储蓄模式。如果提供更专业的护理,并在门诊之外纳入共同决策和患者/护理人员培训,患者的就医体验将得到改善。这些结果突出表明,有必要改进全科医生(GP)教育,加快专科医生的诊治,让患者更多地参与治疗选择,并提供更多的经济援助,以改善澳大利亚患者和护理人员的就医体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
5.00%
发文量
186
审稿时长
6-12 weeks
期刊介绍: Australasian Journal of Dermatology is the official journal of the Australasian College of Dermatologists and the New Zealand Dermatological Society, publishing peer-reviewed, original research articles, reviews and case reports dealing with all aspects of clinical practice and research in dermatology. Clinical presentations, medical and physical therapies and investigations, including dermatopathology and mycology, are covered. Short articles may be published under the headings ‘Signs, Syndromes and Diagnoses’, ‘Dermatopathology Presentation’, ‘Vignettes in Contact Dermatology’, ‘Surgery Corner’ or ‘Letters to the Editor’.
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