University of Wisconsin Hospital Sportsmedicine Center, Madison, WI.
J Athl Train. 1992;27(2):180-3.
In 1985, Sherman (21) reported a lack of organized and supervised health care for athletes in southern Wisconsin high schools and proposed that outreach athletic trainer services could help fill this gap. In order to determine the extent to which outreach programs are providing athletic training services, in January 1990, I surveyed 30 athletic medicine outreach services in Wisconsin to observe the frequency and scope of care being provided. Twenty-six surveys were returned. Results indicated that: (1) nearly half the high schools in Wisconsin subscribe to an outreach service; (2) outreach visits vary per individual school/service agreements, but average 2.5 visits per week, 2 hours per visit; (3) generally, outreach services furnish medical coverage to community athletic events as well as provide a source of continuing education programs for local coaches and administrators; (4) fees for services vary per contract, with nearly one-third of the respondents operating on a "no fee" volunteer basis; (5) nearly two-thirds of the outreach services emanate from a physical therapy department; and (6) 88% of services employ certified athletic trainers to provide outreach care. Outreach services appear as the mode of choice for providing athletic medicine in Wisconsin. Although some care is better than none, the quality and comprehensiveness of this care requires further investigation.
1985 年，谢尔曼（21）报告说，威斯康星州南部高中缺乏有组织和监督的运动员医疗服务，并提出外展运动训练师服务可以帮助填补这一空白。为了确定外展计划在多大程度上提供运动训练服务，1990 年 1 月，我调查了威斯康星州的 30 个运动医学外展服务机构，以观察正在提供的护理的频率和范围。收到了 26 份调查回复。结果表明：（1）威斯康星州近一半的高中都订阅了外展服务；（2）外展访问的次数因个人学校/服务协议而异，但平均每周 2.5 次访问，每次访问 2 小时；（3）通常，外展服务为社区运动赛事提供医疗保障，并为当地教练和管理人员提供继续教育计划；（4）服务费用因合同而异，近三分之一的受访者是基于“无费用”的志愿者基础运作；（5）近三分之二的外展服务来自物理治疗部门；（6）88%的服务机构聘请认证的运动训练师提供外展护理。外展服务似乎是在威斯康星州提供运动医学的首选模式。尽管有些护理总比没有好，但这种护理的质量和全面性需要进一步调查。
