{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:02:07Z","timestamp":1785380527758,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The cost to the healthcare system of management and treatment for fibromyalgia patients is high. The aims of the study were to identify and compare factors associated with the use of healthcare services among fibromyalgia patients in southern Israel from two ethnic groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study of patients insured in the southern district of the Clalit Healthcare Services in Israel in 2019\u20132020. The data were collected from the central computerized system. Multivariable regression models were developed for healthcare services utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 7686 members were diagnosed with fibromyalgia. The median for specialist consultations was 47 and for imaging tests was eight. About 47% made emergency room visits and 25% were hospitalized. The median of imaging tests was significantly higher in Jewish patients than in Arab patients (8 vs. 6; <jats:italic>p<\/jats:italic>\u2009=\u2009.000). In contrast, a significantly higher rate of Arab patients visited the Emergency Room at least once (51.6% vs. 46.75%; <jats:italic>p<\/jats:italic>\u2009=\u2009.000) and they had a higher median number or Emergency Room visits (2 vs. 1; <jats:italic>p<\/jats:italic>\u2009=\u2009.003), compared with Jewish patients. In the Arab group there was a strong effect coefficient for another localized pain syndrome with specialist consultations (odds ratio [OR] 1.699; 95% confidence interval [CI] 1.266\u20132.241) and imaging tests (OR 2.511; 95% CI 1.496\u20134.146).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The utilization rate of healthcare services is high among fibromyalgia patients. The factors associated with high healthcare utilization are different in the two ethnic groups. Future studies could show if interventions designed to address modifiable factors could reduce the overutilization of healthcare services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.14836","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T04:36:01Z","timestamp":1689309361000},"page":"1923-1931","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Health services utilization by fibromyalgia patients from two ethnic groups"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9969-713X","authenticated-orcid":false,"given":"Yulia","family":"Treister\u2010Goltzman","sequence":"first","affiliation":[{"name":"The Department of Family Medicine, Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"},{"name":"Clalit Health Services  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roni","family":"Peleg","sequence":"additional","affiliation":[{"name":"The Department of Family Medicine, Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"},{"name":"Clalit Health Services  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iftach","family":"Sagy","sequence":"additional","affiliation":[{"name":"Rheumatology Disease Unit Soroka University Medical Center  Beer Sheva Israel"},{"name":"Clinical Research Center Soroka University Medical Center  Beer Sheva Israel"},{"name":"Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idan","family":"Menashe","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12585"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S41111"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmh411"},{"issue":"116","key":"e_1_2_10_5_1","first-page":"44","article-title":"Cognitive\u2010behavioural and social factors do not predict recurrent secondary healthcare use in patients with fibromyalgia: a longitudinal study","volume":"37","author":"Vervoort VM","year":"2019","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_10_6_1","first-page":"549","article-title":"Predictors of healthcare resource use in fibromyalgia","volume":"22","author":"Pastor Mira MA","year":"2010","journal-title":"Psicothema"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S112252"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2012.18.6.415"},{"key":"e_1_2_10_9_1","first-page":"39","article-title":"Factors associated with healthcare costs in women with fibromyalgia","volume":"7","author":"Walen HR","year":"2001","journal-title":"Am J Manag Care"},{"key":"e_1_2_10_10_1","first-page":"539","article-title":"Urinary incontinence among Muslim women in Israel: risk factors and help\u2010seeking behavior","volume":"29","author":"Treister\u2010Goltzman Y","year":"2018","journal-title":"Int Urogynecol J"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S242699"},{"key":"e_1_2_10_12_1","first-page":"541","article-title":"Are pain beliefs, cognitions, and behaviors influenced by race, ethnicity, and culture in patients with chronic musculoskeletal pain: a systematic review","volume":"21","author":"Orhan C","year":"2018","journal-title":"Pain Physician"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem037"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-014-0001-3"},{"key":"e_1_2_10_15_1","unstructured":"RudnitzkiA AbuRT.The Bedouin Population in the Negev.2019.https:\/\/abrahaminitiatives.org\/wp\u2010content\/uploads\/2019\/01\/The\u2010Bedouin\u2010Population\u2010in\u2010the\u2010Negev.pdf"},{"key":"e_1_2_10_16_1","unstructured":"Israeli National Insurance Institute site. 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