Johnson Shirley M, Kurtz Margot E
Department of Family and Community Medicine at the Michigan State University College of Osteopathic Medicine in East Lansing, USA.
J Am Osteopath Assoc. 2002 Oct;102(10):527-32, 537-40.
Data presented in this study were gathered in 1998 through a national mail survey of 3000 randomly selected osteopathic physicians. Of 979 (33.4%) questionnaires returned, 955 (97.5%) were usable for analysis. The use of osteopathic manipulative treatment (OMT) was determined for primary care physicians and specialists. Osteopathic manipulative treatment specialists and family physicians provided OMT significantly more frequently than other primary care physicians and non-primary care specialists. More than 50% of respondents (513) administered OMT on less than 5% of their patients. Nevertheless, it should be noted that physicians from 40 of 46 specialties and subspecialties represented in the survey (678, 71%) identified an average of 3.3 conditions and diagnoses per physician that were managed with OMT. The conditions and diagnoses for which OMT is used have been enumerated and codified. More than 50% of conditions (1135) for which respondents treated patients with OMT related to the musculoskeletal system, but extensive overlap among other body systems and body regions attests to the continued incorporation of OMT into holistic patient care by a broad range of osteopathic physicians.
本研究中的数据于1998年通过对3000名随机抽取的整骨疗法医生进行全国性邮寄调查收集。在回收的979份问卷（33.4%）中，955份（97.5%）可用于分析。对初级保健医生和专科医生的整骨手法治疗（OMT）使用情况进行了测定。整骨手法治疗专科医生和家庭医生提供OMT的频率明显高于其他初级保健医生和非初级保健专科医生。超过50%的受访者（513人）对不到5%的患者进行OMT治疗。然而，应该注意的是，调查中涵盖的46个专科和亚专科中的40个专科的医生（678人，占71%）平均每位医生确定了3.3种使用OMT进行管理的病症和诊断。使用OMT的病症和诊断已被列举并编码。受访者对患者进行OMT治疗的病症中，超过50%（1135种）与肌肉骨骼系统有关，但其他身体系统和身体区域之间存在广泛重叠，这证明了广泛的整骨疗法医生继续将OMT纳入整体患者护理中。
