Recent Advances in Evaluation Tools and Associated Factors for Patient Delay in Chronic Disease Patients [慢性病患者就医延迟评估工具及影响因素的研究进展]

作者：Zou H.; Jiang D.; Zhang L.^*

来源：中国全科医学, 2022, 25(7): 893-898.

DOI：10.12114/j.issn.1007-9572.2021.00.296

• Chronic disease
• Influencing factors
• Patient delay
• Review
• Scale

Patient delay will lead to increased risk of complications, reduced treatment effectiveness and lowered quality of life in chronic disease patients. Early identifying individuals with chronic diseases at high risk of patient delay, and timely delivering targeted interventions to them may greatly improve current status of patient delay in this population. Based on a literature review, we systematically summarized several major evaluation tools(including Barriers to Access to Care Evaluation scale, Perceived Barriers to Health Care-seeking Decision, Stroke Pre-Hospital Delay Behavior Intention scale, Diabetes Mellitus Diagnosis and Treatment Delayed Cognitive Behavioral Intention Scale, and Attitudes toward Medical Help-seeking Scale developed by Fisher et al.)for patient delay in chronic disease patients, and analyzed controllable(mental and cognitive)and uncontrollable(sociodemographic and disease-specific)factors associated with patient delay, offering evidence for the assessment of patient delay and development of relevant interventions. We found that the applicability and clinical application rate of these tools are low, and their predictive efficacy and threshold have been rarely studied, and patient delay may be significantly associated with patients' insufficient knowledge of the disease, low economic level and low social support.

• 单位
  哈尔滨医科大学