Purpose of Review

Functional neurological disorder (FND) is a common and severely debilitating condition lacking clinical ownership, existing between neurology and psychiatry. This article reports the findings of recent research investigating the economic costs of FND diagnosis and management. We define what the costs are, why they exist, and suggest actionable steps to reduce them.

Recent Findings

The financial burden of FND exists across the globe characterized by high healthcare utilization resulting in exorbitant direct and indirect costs for the patient, healthcare system, and society. Inadequate medical education and stigmatization of the disorder prolong the time to diagnosis, during which cyclical utilization of inpatient and emergency department services drive up costs. Despite being cost-effective, lack of accessible treatment compounds the issue, leaving patients without a reliable exit.

Summary

Recent findings support an increased awareness and the need for a cultural shift to overcome the financial burden associated with this underserved population.

中文翻译：

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功能性神经疾病的经济负担

审查目的

功能性神经系统疾病（FND）是一种常见且严重使人衰弱的疾病，缺乏临床所有权，存在于神经病学和精神病学之间。本文报告了最近调查 FND 诊断和管理的经济成本的研究结果。我们定义成本是什么、它们存在的原因，并提出降低成本的可行步骤。

最近的发现

全球范围内存在 FND 的财务负担，其特点是医疗保健利用率高，导致患者、医疗保健系统和社会产生过高的直接和间接成本。医学教育不足和对该疾病的污名化会延长诊断时间，在此期间住院和急诊科服务的周期性使用会增加成本。尽管具有成本效益，但缺乏可行的治疗方法使问题变得更加复杂，使患者没有可靠的出路。

概括

最近的研究结果支持人们提高认识并需要进行文化转变，以克服与这一服务不足的人群相关的经济负担。