咨询费是定期跟进的障碍

摘要(中文译文)

定期随访就诊对于高血压（HT）、糖尿病（DM）、心血管疾病（CVD）和冠状动脉疾病（CAD）等多种慢性疾病的有效管理和并发症预防至关重要，有助于保障照护的连续性并改善患者结局，包括生活质量。然而，诊疗费用构成显著障碍，尤其是在中低收入人群中，自付费用使患者不愿遵循随访计划。本文探讨诊疗费用如何影响患者行为、降低对医嘱的依从性，并最终损害照护质量和生活质量。通过对当前文献的综述，本文突出了患者所面临的经济挑战，并促使我们思考潜在的政策解决方案，包括补贴随访、捆绑式照护模式和延长免费随访窗口期。解决这一经济约束对于确保持续照护的公平可及性和改善长期健康结局至关重要。需要针对该问题开展周密规划的研究，以支持长期规划。

Abstract

Regular follow-up visits are essential for effective management and prevention of complications of chronic diseases like hypertension (HT), diabetes mellitus (DM), cardiovascular disease (CVD), and coronary artery disease (CAD), and many more, for continuity of care and improved patient outcomes including quality of life. However, consultation fees act as a significant barrier, particularly in low- and middle-income populations, where out-of-pocket expenses deter patients from adhering to follow-up schedules. This article explores how consultation fees influence patient behavior, reduce compliance with medical advice, and ultimately compromise the quality of care and life. A review of current literature highlights the financial challenges faced by patients and allows us to think about potential policy solutions, including subsidized follow-ups, bundled care models, and extended free follow-up windows. Addressing this financial constraint is critical for ensuring equitable access to ongoing care and improving long-term health outcomes. Well-planned research on this issue is required for long-term planning.

如何引用

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