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Access to Medical Care for Individuals with Myalgic Encephalomyelitis and Chronic Fatigue Syndrome

Cheesus

Senior Member
Messages
1,292
Location
UK
Madison Sunnquist, Laura Nicholson, Leonard A. Jason, Kenneth J. Friedman

Abstract

The current study sought to better understand the experience of individuals with myalgic
encephalomyelitis (ME) and chronic fatigue syndrome (CFS) in accessing care for their debilitating
illness. Of 898 participants, less than half had ever seen an ME or CFS specialist, though 99% of
participants were interested in specialist care. Participants cited geographic and financial barriers as
most frequently precluding access to specialists. Furthermore, satisfaction with specialist care greatly
exceeded satisfaction with non-specialist care. These findings suggested that individuals with ME and
CFS represent a medically-underserved population, due to lack of available care. The CFS Advisory
Committee and NIH Pathways to Prevention Working Group recommended the creation of ME and
CFS Centers of Excellence to improve the healthcare access of patients with ME and CFS. The
current study documents the need for these centers, as they would ameliorate geographic and
financial barriers to quality care.

http://www.isaacpub.org/PaperInform...olume 1, Number 1, April 2017&JShortName=MCMR
 

*GG*

senior member
Messages
6,389
Location
Concord, NH
I am adding to this post, and breaking it up to make it easier to read!

GG

PS I wonder why the Affiliations has the same place listed 3 times?

Affiliation(s)

Center for Community Research, DePaul University, Chicago, Illinois, United States;
Center for Community Research, DePaul University, Chicago, Illinois, United States;
Center for Community Research, DePaul University, Chicago, Illinois, United States;

Green Mountain College, Poultney, Vermont, United States

Abstract
The current study sought to better understand the experience of individuals with myalgic
encephalomyelitis (ME) and chronic fatigue syndrome (CFS) in accessing care for their debilitating
illness.

Of 898 participants, less than half had ever seen an ME or CFS specialist, though 99% of
participants were interested in specialist care.

Participants cited geographic and financial barriers as most frequently precluding access to specialists. Furthermore, satisfaction with specialist care greatly exceeded satisfaction with non-specialist care. These findings suggested that individuals with ME and CFS represent a medically-underserved population, due to lack of available care.

The CFS Advisory Committee and NIH Pathways to Prevention Working Group recommended the creation of ME and
CFS Centers of Excellence to improve the healthcare access of patients with ME and CFS.

The current study documents the need for these centers, as they would ameliorate geographic and
financial barriers to quality care.

References
  • [1] T. M. Tidmore, L. A. Jason, L. Chapo-Kroger, S. So, A. Brown, and M. C. Silverman, “Lack of Knowledgeable Healthcare Access for Patients with Neuro-endocrine-immune Diseases,” Frontiers in Clinical Medicine, vol. 2, pp. 46–54, 2015
cont'd
 
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CFS_for_19_years

Hoarder of biscuits
Messages
2,396
Location
USA
PS I wonder why the Affiliations has the same place listed 3 times?

Affiliation(s)

Center for Community Research, DePaul University, Chicago, Illinois, United States;
Center for Community Research, DePaul University, Chicago, Illinois, United States;
Center for Community Research, DePaul University, Chicago, Illinois, United States;

Green Mountain College, Poultney, Vermont, United States
The affiliations are listed individually to correspond to each of the individual investigators. In other publications sometimes there is a reference number next to the investigator's name that leads to their affiliation info, but this time those reference numbers weren't there.

Madison Sunnquist: Center for Community Research, DePaul University, Chicago, Illinois, United States

Laura Nicholson: Center for Community Research, DePaul University, Chicago, Illinois, United States

Leonard A. Jason: Center for Community Research, DePaul University, Chicago, Illinois, United States

Kenneth J. Friedman: Green Mountain College, Poultney, Vermont, United States
 

Dolphin

Senior Member
Messages
17,567
Useful for people who want to argue for specialist clinics.

However specialist clinics in the US which are generally private can be different from specialist clinics in public systems such as in the UK. In a public system, providers don't need to be as conscious about patient preferences. So you can end up with the CBT and GET clinics that are in England. The statistics quoted with regard to patient satisfaction with specialist care could be different in the UK I would imagine.

The article argues that specialist clinics can be good for encouraging education of professionals. However this can also be a problem if the sort of education is not good i.e. promoting graded exercise therapy, CBT based on graded exercise/activity therapy, et cetera.
 
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Tom Kindlon

Senior Member
Messages
1,734
Sunnquist table 2.png