对医疗和整脊治疗服务提供者的使用情况及成本的评估：治疗北卡罗来纳州的受伤工人
An evaluation of medical and chiropractic provider utilization and costs: treating injured workers in North Carolina.
作者信息
Phelan Shawn P, Armstrong Richard C, Knox David G, Hubka Michael J, Ainbinder Dennis A
出版信息
J Manipulative Physiol Ther. 2004 Sep;27(7):442-8. doi: 10.1016/j.jmpt.2004.06.002.
OBJECTIVE
To examine utilization, treatment costs, lost workdays, and compensation paid workers with musculoskeletal injuries treated by medical doctors (MDs) and doctors of chiropractic (DCs).
DESIGN
Retrospective review of 96,627 claims between 1975 and 1994.
RESULTS
Average cost of treatment, hospitalization, and compensation payments were higher for patients treated by MDs than for patients treated by DCs. Average number of lost workdays for patients treated by MDs was higher than for those treated by DCs. Combined care patients generated higher costs than patients treated by MDs or DCs alone.
CONCLUSION
These data, with the acknowledged limitations of an insurance database, indicate lower treatment costs, less workdays lost, lower compensation payments, and lower utilization of ancillary medical services for patients treated by DCs. Despite the lower cost of chiropractic management, the use of chiropractic services in North Carolina appears very low.
目的
研究接受医学博士（MD）和脊椎按摩治疗师（DC）治疗的肌肉骨骼损伤工人的医疗服务利用情况、治疗费用、误工天数及获得的赔偿。
设计
对1975年至1994年间的96627份索赔申请进行回顾性研究。
结果
接受MD治疗的患者的治疗、住院及赔偿支付的平均费用高于接受DC治疗的患者。接受MD治疗的患者的平均误工天数高于接受DC治疗的患者。联合治疗的患者产生的费用高于仅接受MD或DC治疗的患者。
结论
这些数据虽存在保险数据库固有的局限性，但表明接受DC治疗的患者治疗费用更低、误工天数更少、赔偿支付更低，辅助医疗服务利用率也更低。尽管脊椎按摩治疗的费用较低，但北卡罗来纳州脊椎按摩服务的使用情况似乎很低。
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