University of South Carolina, Columbia, SC, USA.
J Athl Train. 2010 Jan-Feb;45(1):75-86. doi: 10.4085/1062-6050-45.1.75.
Research suggests that appropriate medical care for interscholastic athletes is frequently lacking. However, few investigators have examined factors related to care.
To examine medical care provided by interscholastic athletics programs and to identify factors associated with variations in provision of care.
Cross-sectional study.
Mailed and e-mailed survey.
One hundred sixty-six South Carolina high schools.
INTERVENTION(S): The 132-item Appropriate Medical Care Assessment Tool (AMCAT) was developed and pilot tested. It included 119 items assessing medical care based on the Appropriate Medical Care for Secondary School-Age Athletes (AMCSSAA) Consensus Statement and Monograph (test-retest reliability: r = 0.89). Also included were items assessing potential influences on medical care. Presence, source, and number of athletic trainers; school size; distance to nearest medical center; public or private status; sports medicine supply budget; and varsity football regional championships served as explanatory variables, whereas the school setting, region of state, and rate of free or reduced lunch qualifiers served as control variables.
MAIN OUTCOME MEASURE(S): The Appropriate Care Index (ACI) score from the AMCAT provided a quantitative measure of medical care and served as the response variable. The ACI score was determined based on a school's response to items relating to AMCSSAA guidelines.
Regression analysis revealed associations with ACI score for athletic training services and sports medicine supply budget (both P < .001) when controlling for the setting, region, and rate of free or reduced lunch qualifiers. These 2 variables accounted for 30% of the variance in ACI score (R(2) = 0.302). Post hoc analysis showed differences between ACI score based on the source of the athletic trainer and the size of the sports medicine supply budget.
The AMCAT offers an evaluation of medical care provided by interscholastic athletics programs. In South Carolina schools, athletic training services and the sports medicine supply budget were associated with higher levels of medical care. These results offer guidance for improving the medical care provided for interscholastic athletes.
研究表明，对于校际运动员的适当医疗护理常常不足。然而，很少有研究人员检查与护理相关的因素。
检查校际体育项目提供的医疗护理，并确定与护理提供差异相关的因素。
横断面研究。
邮寄和电子邮件调查。
南卡罗来纳州的 166 所高中。
开发并试点测试了 132 项适当医疗护理评估工具（AMCAT）。它包括 119 项基于适当医疗护理中学龄运动员（AMCSSAA）共识声明和专着的医疗护理评估项目（测试-重测可靠性：r = 0.89）。还包括评估对医疗护理的潜在影响的项目。运动训练员的存在、来源和数量；学校规模；到最近医疗中心的距离；公立或私立状态；运动医学供应预算；以及大学足球地区锦标赛作为解释变量，而学校环境、州内区域和免费或减少午餐资格的比率作为控制变量。
AMCAT 的适当护理指数（ACI）得分提供了医疗护理的定量衡量标准，作为响应变量。ACI 得分基于学校对与 AMCSSAA 指南相关的项目的回应确定。
在控制环境、区域和免费或减少午餐资格的比例后，回归分析显示与运动训练服务和运动医学供应预算的 ACI 得分相关（均 P <.001）。这两个变量占 ACI 得分变化的 30%（R² = 0.302）。事后分析显示，基于运动训练员的来源和运动医学供应预算的大小的 ACI 得分存在差异。
AMCAT 提供了对校际体育项目提供的医疗护理的评估。在南卡罗来纳州的学校中，运动训练服务和运动医学供应预算与更高水平的医疗护理相关。这些结果为改善校际运动员的医疗护理提供了指导。
