Patients With Multiple Unexplained Symptoms: Their Characteristics, Functional Health, and Health Care Utilization
Abstract
To define groups of patients with inappropriately high health care utilization better, we have studied a group of 41 chronically ill patients to determine their characteristics, symptoms, functional health status, and amount of health care utilization. This group had somatization disorder diagnosed by specific criteria. They can be easily recognized by primary care physicians by their multiple complaints, negative physical examination results, and a history of multiple medical examinations. We found them to be functionally disabled, spending an average of seven days ill in bed each month. They perceived themselves as severely ill and were willing to undergo multiple hospitalizations, diagnostic studies, and operations. Their health care charges were extraordinary, averaging $4,700 annually. The physician can most effectively treat these patients by scheduling regular visits, relying on physical examinations rather than diagnostic studies, and avoiding costly hospitalizations.
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Patients with SSD utilise an inordinate amount of healthcare resources.
“Furthermore, patients with SSD utilise an inordinate amount of healthcare resources.”
From Approach to the patient with multiple somatic symptoms (2021) · cites this paper as [8]
Patients with medically unexplained symptoms generate nine times the healthcare cost of an average patient.
“One study estimated that patients with medically unexplained symptoms generate nine times the healthcare cost of an average patient. (8)”
From Approach to the patient with multiple somatic symptoms (2021) · cites this paper as [8]
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- Authors
- Smith, G. R.
- Corresponding author
- Smith, G. Richard
- ORCID
- Smith, G. Richard
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1986-01-01
- Volume
- 146
- Issue
- 1
- Pages
- 69
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W4231910214
- Cited by
- 384
- References
- 0
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 10 · 2017: 8 · 2016: 8 · 2015: 11 · 2014: 14 · 2013: 17 · 2012: 16
- FWCI
- 8.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- somatization disorder, health care utilization, functional disability, chronic disease, health care costs, hospitalization, diagnostic testing, primary care, patient characteristics
- MeSH terms
- Adult, Aged, Costs and Cost Analysis, Female, Health Services, Health Status, Hospitalization, Humans, Male, Middle Aged, Prospective Studies, Self Concept, Socioeconomic Factors, Somatoform Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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