Cargando…

Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants

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 organisati...

Descripción completa

Detalles Bibliográficos
Autores principales: Vermeir, Peter, Mariman, An, Lucza, Lilla, Sallay, Viola, Weiland, Anne, Stegers‐Jager, Karen M., Vogelaers, Dirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285020/
https://www.ncbi.nlm.nih.gov/pubmed/34516726
http://dx.doi.org/10.1111/ijcp.14855
_version_ 1784747691006230528
author Vermeir, Peter
Mariman, An
Lucza, Lilla
Sallay, Viola
Weiland, Anne
Stegers‐Jager, Karen M.
Vogelaers, Dirk
author_facet Vermeir, Peter
Mariman, An
Lucza, Lilla
Sallay, Viola
Weiland, Anne
Stegers‐Jager, Karen M.
Vogelaers, Dirk
author_sort Vermeir, Peter
collection PubMed
description 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.
format Online
Article
Text
id pubmed-9285020
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-92850202022-07-15 Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants Vermeir, Peter Mariman, An Lucza, Lilla Sallay, Viola Weiland, Anne Stegers‐Jager, Karen M. Vogelaers, Dirk Int J Clin Pract SYSTEMATIC REVIEWS 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. John Wiley and Sons Inc. 2021-09-30 2021-12 /pmc/articles/PMC9285020/ /pubmed/34516726 http://dx.doi.org/10.1111/ijcp.14855 Text en © 2021 The Authors. International Journal of Clinical Practice published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle SYSTEMATIC REVIEWS
Vermeir, Peter
Mariman, An
Lucza, Lilla
Sallay, Viola
Weiland, Anne
Stegers‐Jager, Karen M.
Vogelaers, Dirk
Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants
title Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants
title_full Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants
title_fullStr Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants
title_full_unstemmed Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants
title_short Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants
title_sort epidemiology and organisation of care in medically unexplained symptoms: a systematic review with a focus on cultural diversity and migrants
topic SYSTEMATIC REVIEWS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9285020/
https://www.ncbi.nlm.nih.gov/pubmed/34516726
http://dx.doi.org/10.1111/ijcp.14855
work_keys_str_mv AT vermeirpeter epidemiologyandorganisationofcareinmedicallyunexplainedsymptomsasystematicreviewwithafocusonculturaldiversityandmigrants
AT marimanan epidemiologyandorganisationofcareinmedicallyunexplainedsymptomsasystematicreviewwithafocusonculturaldiversityandmigrants
AT luczalilla epidemiologyandorganisationofcareinmedicallyunexplainedsymptomsasystematicreviewwithafocusonculturaldiversityandmigrants
AT sallayviola epidemiologyandorganisationofcareinmedicallyunexplainedsymptomsasystematicreviewwithafocusonculturaldiversityandmigrants
AT weilandanne epidemiologyandorganisationofcareinmedicallyunexplainedsymptomsasystematicreviewwithafocusonculturaldiversityandmigrants
AT stegersjagerkarenm epidemiologyandorganisationofcareinmedicallyunexplainedsymptomsasystematicreviewwithafocusonculturaldiversityandmigrants
AT vogelaersdirk epidemiologyandorganisationofcareinmedicallyunexplainedsymptomsasystematicreviewwithafocusonculturaldiversityandmigrants