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Orphan patient : ウィキペディア英語版
Orphan patient

In health care, an orphan patient is a patient who has been "lost" within the system or has no primary provider overseeing their care.
Usually, the primary provider is a general practitioner who takes care of some of the basic health needs and then refers to a specialist for complicated medical problems. Thus, orphan patients are sometimes referred to as "no-family-doctor" patients. The view from insiders and health care providers is that orphan patients tend to receive inferior care compared to those who have a "gatekeeper" coordinating the medicine.
The Wordspy entry for this phrase is as follows ():
==Contributing factors==

There are multiple factors that are contributing to the orphan patient problem in North America. Some of them include:
*problems maintaining a supply of qualified health practitioners
*providing access to them where and when they are needed most
*a growing population of patients
*an aging population of patients
*a sicker population of patients (particularly with diabetes and obesity being rampant in North America)
*a more "medicalized" population of patients (expectations for medical care are higher than ever, and we have more defined diseases to treat)
*increasing complexity of treatments for the diseases we have always known about (standard-of-care treatment for heart attack is much more labour-intensive now than it was even a decade ago)
The orphan patient problem has only been recognized in the media recently.
Older medical references mention the term 'orphan patient' using a different definition, specifically patients with an orphan disease. For example, New England Journal of Medicine mentioned patients with orphan diseases as orphan patients in 1988:
N Engl J Med. 1988 Mar 10;318(10):646.
The orphan patient.
Shelley WB, Shelley ED.
Publication Types: Letter
PMID 3344016

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
ウィキペディアで「Orphan patient」の詳細全文を読む



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