比较美国、以色列和荷兰接受物理治疗患者的特征及治疗过程：来自三个临床数据库数据的横断面分析。
Comparing patient characteristics and treatment processes in patients receiving physical therapy in the United States, Israel and the Netherlands: cross sectional analyses of data from three clinical databases.
作者信息
Swinkels Ilse C S, Hart Dennis L, Deutscher Daniel, van den Bosch Wil J H, Dekker Joost, de Bakker Dinny H, van den Ende Cornelia H M
机构信息
NIVEL - Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
出版信息
BMC Health Serv Res. 2008 Jul 30;8:163. doi: 10.1186/1472-6963-8-163.
BACKGROUND
Many assume that outcomes from physical therapy research in one country can be generalized to other countries. However, no well designed studies comparing outcomes among countries have been conducted. In this exploratory study, our goal was to compare patient demographics and treatment processes in outpatient physical therapy practice in the United States, Israel and the Netherlands.
METHODS
Cross-sectional data from three different clinical databases were examined. Data were selected for patients aged 18 years and older and started an episode of outpatient therapy between January 1st 2005 and December 31st 2005. Results are based on data from approximately 63,000 patients from the United States, 100,000 from Israel and 12,000 from the Netherlands.
RESULTS
Age, gender and the body part treated were similar in the three countries. Differences existed in episode duration of the health problem, with more patients with chronic complaints treated in the United States and Israel compared to the Netherlands. In the United States and Israel, physical agents and mechanical modalities were applied more often than in the Netherlands. The mean number of visits per treatment episode, adjusted for age, gender, and episode duration, varied from 8 in Israel to 11 in the United States and the Netherlands.
CONCLUSION
The current study showed that clinical databases can be used for comparing patient demographic characteristics and for identifying similarities and differences among countries in physical therapy practice. However, terminology used to describe treatment processes and classify patients was different among databases. More standardisation is required to enable more detailed comparisons. Nevertheless the differences found in number of treatment visits per episode imply that one has to be careful to generalize outcomes from physical therapy research from one country to another.
背景
许多人认为，一个国家物理治疗研究的结果可以推广到其他国家。然而，尚未进行过设计良好的比较不同国家结果的研究。在这项探索性研究中，我们的目标是比较美国、以色列和荷兰门诊物理治疗实践中的患者人口统计学特征和治疗过程。
方法
检查了来自三个不同临床数据库的横断面数据。选取了2005年1月1日至2005年12月31日期间开始门诊治疗的18岁及以上患者的数据。结果基于来自美国约63000名患者、以色列100000名患者和荷兰12000名患者的数据。
结果
三个国家的年龄、性别和治疗的身体部位相似。健康问题的发作持续时间存在差异，与荷兰相比，美国和以色列治疗慢性疾病的患者更多。在美国和以色列，物理因子和机械治疗方法的应用比荷兰更频繁。经年龄、性别和发作持续时间调整后，每个治疗疗程的平均就诊次数从以色列的8次到美国和荷兰的11次不等。
结论
当前研究表明，临床数据库可用于比较患者人口统计学特征，并识别不同国家物理治疗实践中的异同。然而，不同数据库中用于描述治疗过程和对患者进行分类的术语不同。需要更多的标准化以进行更详细的比较。尽管如此，每个疗程治疗就诊次数的差异表明，在将一个国家物理治疗研究的结果推广到另一个国家时必须谨慎。
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