Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK.
Arthritis Res Ther. 2012 Feb 29;14(1):205. doi: 10.1186/ar3743.
Musculoskeletal pain is common across all populations and costly in terms of impact on the individual and, more generally, on society. In most health-care systems, the first person to see the patient with a musculoskeletal problem such as back pain is the general practitioner, and access to other professionals such as physiotherapists, chiropractors, or osteopaths is still either largely controlled by a traditional medical model of referral or left to self-referral by the patient. In this paper, we examine the arguments for the general practitioner-led model and consider the arguments, and underpinning evidence, for reconsidering who should take responsibility for the early assessment and treatment of patients with musculoskeletal problems.
肌肉骨骼疼痛在所有人群中都很常见，而且会对个人以及更广泛的社会造成巨大的影响，因此造成的经济损失也不容小觑。在大多数医疗保健系统中，第一个接诊肌肉骨骼问题（如背痛）患者的人通常是全科医生，而能否接触到理疗师、整脊师或整骨师等其他专业人士，要么主要受传统的转诊医疗模式控制，要么由患者自行决定。在本文中，我们将探讨以全科医生为主导的模式的论点，并考虑重新考虑谁应该负责对肌肉骨骼问题患者进行早期评估和治疗的理由和依据。
