患者对家庭医生和脊椎按摩师治疗下背痛的评价。
Patient evaluations of low back pain care from family physicians and chiropractors.
作者信息
Cherkin D C, MacCornack F A
出版信息
West J Med. 1989 Mar;150(3):351-5.
Abstract
We compare health maintenance organization enrollees' evaluations of the care they received from family physicians and chiropractors for low back pain. Patients of chiropractors were three times as likely as patients of family physicians to report that they were very satisfied with the care they received for low back pain (66% versus 22%, respectively). Compared with patients of family physicians, patients of chiropractors were much more likely to have been satisfied with the amount of information they were given, to have perceived that their provider was concerned about them, and to have felt that their provider was comfortable and confident dealing with their problem. Although the more positive evaluations of chiropractors may be related to differences in the patient populations served by the two providers or to benefits of spinal manipulation, it is suggested that a potentially more potent force--the therapeutic effect of the patient and provider interaction itself--may explain the observed differences.
摘要
我们比较了健康维护组织参保者对家庭医生和脊椎按摩师针对腰痛所提供护理的评价。脊椎按摩师的患者报告称对腰痛护理“非常满意”的可能性是家庭医生患者的三倍（分别为66%和22%）。与家庭医生的患者相比，脊椎按摩师的患者更有可能对所获信息的数量感到满意，更有可能感觉到其医疗服务提供者关心他们，也更有可能觉得其医疗服务提供者在处理他们的问题时从容自信。尽管对脊椎按摩师的更积极评价可能与这两类医疗服务提供者所服务的患者群体差异或脊柱推拿的益处有关，但有人认为，一种可能更具影响力的因素——患者与医疗服务提供者互动本身的治疗效果——或许可以解释所观察到的差异。
相似文献
1
Patient evaluations of low back pain care from family physicians and chiropractors.患者对家庭医生和脊椎按摩师治疗下背痛的评价。
West J Med. 1989 Mar;150(3):351-5.
2
The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project.初级保健医生、脊椎按摩师和整形外科医生诊治的急性腰痛患者的护理结果及费用。北卡罗来纳州背痛项目。
N Engl J Med. 1995 Oct 5;333(14):913-7. doi: 10.1056/NEJM199510053331406.
3
Managing low back pain--a comparison of the beliefs and behaviors of family physicians and chiropractors.管理下背痛——家庭医生与脊椎按摩师的观念及行为比较
West J Med. 1988 Oct;149(4):475-80.
4
Family physicians, chiropractors, and back pain.
J Fam Pract. 1992 Nov;35(5):551-5.
5
Patient characteristics and physicians' practice activities for patients with chronic low back pain: a practice-based study of primary care and chiropractic physicians.慢性下腰痛患者的特征及医生的诊疗活动：一项基于初级保健医生和脊椎按摩治疗师的实践研究
J Manipulative Physiol Ther. 2001 Feb;24(2):92-100. doi: 10.1067/mmt.2001.112565.
6
Patient perceptions of chiropractic treatment for primary care disorders.患者对脊椎按摩疗法治疗初级保健疾病的看法。
J Manipulative Physiol Ther. 2007 Jan;30(1):11-6. doi: 10.1016/j.jmpt.2006.11.007.
7
Indigestion and heartburn: a descriptive study of prevalence in persons seeking care from chiropractors.消化不良与胃灼热：对寻求脊椎按摩治疗师护理的人群患病率的描述性研究。
J Manipulative Physiol Ther. 1996 Jun;19(5):317-23.
8
A descriptive study of medical and chiropractic patients with chronic low back pain and sciatica: management by physicians (practice activities) and patients (self-management).一项关于患有慢性腰痛和坐骨神经痛的医学及整脊疗法患者的描述性研究：医生（执业活动）和患者（自我管理）的管理方式
J Manipulative Physiol Ther. 2001 Nov-Dec;24(9):543-51. doi: 10.1067/mmt.2001.118978.
9
The diagnosis and treatment of chronic back pain by acupuncturists, chiropractors, and massage therapists.针灸师、整脊师和按摩治疗师对慢性背痛的诊断与治疗。
Clin J Pain. 2006 Mar-Apr;22(3):227-34. doi: 10.1097/01.ajp.0000169668.62900.ca.
10
[The management of back problems among the population. I. Contact patterns and therapeutic routines].
Ugeskr Laeger. 1997 Apr 7;159(15):2207-14.
引用本文的文献
1
Chiropractic Day 2023: A Report and Qualitative Analysis of How Thought Leaders Celebrate the Present and Envision the Future of Chiropractic.2023年整脊疗法日：思想领袖如何庆祝整脊疗法的当下并展望其未来的报告与定性分析
J Chiropr Humanit. 2023 Oct 4;30:23-45. doi: 10.1016/j.echu.2023.08.001. eCollection 2023 Dec.
2
Theory of Planned Behavior and Mindfulness Intentions in Chronic Low Back Pain.慢性下腰痛的计划行为理论与正念意图
Mindfulness (N Y). 2022;13(12):3145-3152. doi: 10.1007/s12671-022-02022-2. Epub 2022 Nov 10.
3
4
Mixed methods systematic review of the literature base exploring working alliance in the chiropractic profession.中文译文：混合方法系统评价文献基础，探索整脊专业中的工作联盟。
Chiropr Man Therap. 2022 Sep 2;30(1):35. doi: 10.1186/s12998-022-00442-4.
5
"Chiropractic is manual therapy, not talk therapy": a qualitative analysis exploring perceived barriers to remote consultations by chiropractors.“脊骨疗法是一种手法治疗，而非谈话治疗”：一项定性分析，旨在探讨脊医进行远程会诊的感知障碍。
Chiropr Man Therap. 2021 Nov 25;29(1):47. doi: 10.1186/s12998-021-00404-2.
6
Chiropractic Day: A Historical Review of a Day Worth Celebrating.整脊日：对一个值得庆祝的日子的历史回顾
J Chiropr Humanit. 2020 Dec 7;27:1-10. doi: 10.1016/j.echu.2020.11.001. eCollection 2020 Dec.
7
Time to Align Coverage with Evidence for Treatment of Back Pain.是时候让背痛治疗的覆盖范围与证据保持一致了。
J Gen Intern Med. 2019 Sep;34(9):1910-1912. doi: 10.1007/s11606-019-05099-z. Epub 2019 Jun 26.
8
Chiropractic as Part of the Solution to the World Crisis in Spine-related Disability.整脊疗法作为解决全球脊柱相关残疾危机的方案的一部分。
J Chiropr Humanit. 2019 Jan 9;25:6-9. doi: 10.1016/j.echu.2018.10.001. eCollection 2018 Dec.
9
: a qualitative analysis of stakeholder perspectives on adding a chiropractor to the multidisciplinary rehabilitation team.利益相关者对在多学科康复团队中增加一名脊椎指压治疗师的观点的定性分析。
Chiropr Man Therap. 2018 Jun 22;26:29. doi: 10.1186/s12998-018-0200-4. eCollection 2018.
10
The effect of chiropractic treatment on the reaction and response times of special operation forces military personnel: study protocol for a randomized controlled trial.整脊疗法对特种作战部队军事人员反应和反应时间的影响：一项随机对照试验的研究方案
Trials. 2016 Sep 20;17(1):457. doi: 10.1186/s13063-016-1580-1.
本文引用的文献
1
Conservative therapy for low back pain. Distinguishing useful from useless therapy.腰痛的保守治疗。区分有用治疗与无用治疗。
JAMA. 1983 Aug 26;250(8):1057-62.
2
Roentgenograms in primary care patients with acute low back pain: a cost-effectiveness analysis.初级保健中急性腰痛患者的X线照片：一项成本效益分析。
Arch Intern Med. 1982 Jun;142(6):1108-12.
3
The chiropractic physician: a study of career contingencies.整脊医师：职业意外情况研究
J Health Soc Behav. 1971 Dec;12(4):300-6.
4
Manipulating the patient. A comparison of the effectiveness of physician and chiropractor care.
Lancet. 1974 Jun 29;1(7870):1333-6. doi: 10.1016/s0140-6736(74)90695-3.
5
The physician's actions and the outcome of illness in family practice.家庭医疗中医生的行为与疾病转归
J Fam Pract. 1986 Jul;23(1):43-7.
6
Therapeutic aspects of the clinical encounter.临床诊疗中的治疗方面。
J Gen Intern Med. 1987 Sep-Oct;2(5):346-55. doi: 10.1007/BF02596174.
7
General practice consultations: is there any point in being positive?全科医疗会诊：保持积极态度有意义吗？
Br Med J (Clin Res Ed). 1987 May 9;294(6581):1200-2. doi: 10.1136/bmj.294.6581.1200.
8
Managing low back pain--a comparison of the beliefs and behaviors of family physicians and chiropractors.管理下背痛——家庭医生与脊椎按摩师的观念及行为比较
West J Med. 1988 Oct;149(4):475-80.
9
Adjustment, the hands and healing.调整、双手与治愈。
Cult Med Psychiatry. 1985 Dec;9(4):353-82. doi: 10.1007/BF00049230.
10
A critical look at the treatment for low back pain.对腰痛治疗方法的批判性审视。
Scand J Rehabil Med. 1979;11(4):143-7.
Zotero 插件