Hodges Bruce R, Cambron Jerrilyn A, Klein Rachel M, Madigan Dana M
J Chiropr Educ. 2013 Fall;27(2):123-7. doi: 10.7899/JCE-13-101. Epub 2013 Jun 11.
Objective : We sought to identify the percentage of nonmusculoskeletal and musculoskeletal conditions treated by interns in the National University of Health Sciences (NUHS) Student Clinic compared to chiropractic and allopathic health care professionals. Methods : The information gathered was taken from the charts of patients treated in the fall trimester, dated September 12, 2011 through December 9, 2011. The data collected included ICD-9 codes for the conditions treated, the number of patient visits, age, and gender, and was evaluated using Microsoft Excel. Results : Over half of the 113 eligible patients were women with a mean patient age of 28 years, an average of three treated diagnoses, and a mean of seven treatments. Those treated only for musculoskeletal conditions totaled 52% of the patients; 48% of the patients were treated for nonmusculoskeletal conditions, or musculoskeletal plus nonmusculoskeletal conditions. Conclusion : The NUHS Student Clinic interns are treating a greater percentage of nonmusculoskeletal conditions and a lesser percentage of musculoskeletal conditions than practicing chiropractic physicians. The student interns also treat a lesser percentage of nonmusculoskeletal and a greater percentage of musculoskeletal conditions than allopathic practitioners. This comparison would suggest that NUHS is nearing its institutional goal of training its student interns as primary care practitioners.
我们试图确定国立卫生科学大学(NUHS)学生诊所的实习生所治疗的非肌肉骨骼疾病和肌肉骨骼疾病的比例,并与脊椎按摩治疗师和全科医疗专业人员进行比较。方法:收集的信息取自2011年9月12日至2011年12月9日秋季学期治疗的患者病历。收集的数据包括所治疗疾病的ICD - 9编码、患者就诊次数、年龄和性别,并使用Microsoft Excel进行评估。结果:113名符合条件的患者中,超过一半为女性,患者平均年龄为28岁,平均接受三种诊断治疗,平均接受七次治疗。仅接受肌肉骨骼疾病治疗的患者占患者总数的52%;48%的患者接受了非肌肉骨骼疾病治疗,或肌肉骨骼疾病与非肌肉骨骼疾病合并治疗。结论:与执业脊椎按摩治疗师相比,NUHS学生诊所的实习生治疗的非肌肉骨骼疾病比例更高,肌肉骨骼疾病比例更低。与全科医生相比,学生实习生治疗的非肌肉骨骼疾病比例更低,肌肉骨骼疾病比例更高。这种比较表明,NUHS正在接近其将学生实习生培养成初级保健从业者的机构目标。