Department of Physical Medicine and Rehabilitation, Rusk Rehabilitation Center, University of Missouri, 315 Business Loop 70 West, Columbia, MO 65203, USA.
PM R. 2013 Jun;5(6):510-2. doi: 10.1016/j.pmrj.2012.12.006. Epub 2013 Jan 29.
To evaluate the capabilities and resources of free and charitable clinics in the United States to deliver musculoskeletal care to an indigent population.
A voluntary, anonymous, cross-sectional survey.
Electronic mailing list for the National Association of Free and Charitable Clinics in September 2011, and in person at the Annual Summit for the National Association of Free and Charitable Clinics in October 2011. At the time of survey, 427 member-clinics were eligible for participation.
One hundred forty-five (34%) respondents were included in data analysis.
None.
Answers to a questionnaire regarding access to musculoskeletal care.
The average annual clinic volume was 5690 patient visits. Low back pain was the most common orthopedic complaint. Access to musculoskeletal specialty consultants was rated as poor or worse in 83% of clinics surveyed. The majority of respondents (63%) believed that their staff was able to treat only half or fewer of the patients who presented with musculoskeletal complaints in their clinic. The resource most needed to treat these conditions was musculoskeletal physician consultants.
Indigent populations have a strong need for musculoskeletal care, but affordable access to physiatrists and other musculoskeletal specialists is extremely limited. Personnel at surveyed clinics believed that the greatest need to improve care is better access to these specialty physicians.
评估美国免费和慈善诊所为贫困人群提供肌肉骨骼护理的能力和资源。
自愿、匿名、横断面调查。
2011 年 9 月，通过电子邮件列表向全国免费和慈善诊所协会发送问卷，2011 年 10 月在全国免费和慈善诊所协会年会上现场发送问卷。在调查时，427 个成员诊所符合参与条件。
145 名（34%）受访者纳入数据分析。
无。
有关获得肌肉骨骼护理机会的调查问卷的答案。
平均每年的诊所就诊量为 5690 人次。下腰痛是最常见的骨科投诉。在接受调查的诊所中，83%的诊所认为获得肌肉骨骼专科顾问的机会较差或很差。大多数受访者（63%）认为，他们的工作人员只能治疗其诊所中出现肌肉骨骼投诉的一半或更少的患者。治疗这些疾病最需要的资源是肌肉骨骼医师顾问。
贫困人群对肌肉骨骼护理有强烈的需求，但负担得起的理疗师和其他肌肉骨骼专家的服务机会极为有限。接受调查的诊所的人员认为，改善护理的最大需求是更好地获得这些专科医生的服务。
