Journal
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE
Volume 75, Issue 12, Pages -Publisher
WILEY-HINDAWI
DOI: 10.1111/ijcp.14855
Keywords
-
Funding
- European Commission [2018-2021.2018-1-NL01_KA203-038971]
Ask authors/readers for more resources
Different case definitions lead to varying epidemiological estimates for patients with medically unexplained symptoms (MUS), but they are prevalent in a wide range of healthcare settings. Literature provides evidence supporting the effectiveness of structural frameworks in approaching MUS patients. The organization of care for MUS needs to span different levels of care and involve coordination among caregivers with different qualifications.
Background Since the pathophysiology of medically unexplained symptoms (MUS) remains unclear, healthcare providers often struggle with these patients, especially with a different ethnic and/or cultural background. These challenges are insufficiently addressed in their training and in the organisation of care. Aim To improve healthcare provider-patient interaction focused on MUS patients in general and in ethnic minorities and refugees in particular through a systematic review of syndromal definitions and epidemiology and organisation of care of MUS patients. Methods Screening of PubMed, Web of Science, Cinahl and Cochrane Library on the keywords 'Medical unexplained (physical) symptoms (MUPS)', 'Somatoform disorder', 'Functional syndrome', 'Diversity', 'Migrants', 'Ethnicity', 'Care models', 'Medical education', 'Communication skills', 'Health literacy'. Results Different case definitions result in markedly different epidemiological estimates for MUS patients. Nevertheless, they are prevalent in a wide range of healthcare settings. Literature offers evidence of the effectiveness of structural frameworks in approaching MUS patients. Organisation of MUS care needs to transcend different levels of care: specialist tertiary and secondary care and primary care involving different qualifications of caregivers need to be aligned. Conclusion The systematic review identified significant gaps and shortcomings in organisation of care. These need to be addressed in order to improve outcomes.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available