澳大利亚的全科医生会将患者转诊给哪些物理治疗师？
Who do Australian general practitioners refer to physiotherapy?
作者信息
Dennis Sarah, Watts Ian, Pan Ying, Britt Helena
机构信息
Grad Assoc Physio, MSc PhD, Senior Lecturer, Clinical and Rehabilitation Sciences, Faculty of Health Sciences, University of Sydney and Conjoint Senior Lecturer, University of New South Wales, New South Wales.
出版信息
Aust Fam Physician. 2017 Jun;46(6):421-426.
BACKGROUND
Physiotherapy plays an important role in the health of many Australians. The aims of this study were to assess changes in the rate of general practitioner (GP) referral to physiotherapists in Australia from 1998 to 2014, and to determine patient characteristics associated with increased likelihood of such referral.
METHODS
Secondary analysis was undertaken of data from the Bettering the Evaluation and Care of Health program using weighted encounter data years 1998-99 to 2014-15 inclusive.
RESULTS
The rate of GP referral to physiotherapists remained steady until 2010, when referrals increased. Patients were more likely to be referred to physiotherapy if they had a Department of Veterans' Affairs card; did not have a Health Care Card; were female aged 45-64 years; or male aged 25-44 years. Musculoskeletal problems accounted for 80% of referrals, but only 6.8% of all musculoskeletal problems managed were referred.
DISCUSSION
Allied health Medicare Benefits Schedule item numbers have increased referrals to physiotherapy. However, there are some population groups who are not referred but might benefit from physiotherapy.
背景
物理治疗在许多澳大利亚人的健康中发挥着重要作用。本研究的目的是评估1998年至2014年澳大利亚全科医生（GP）转介至物理治疗师的比例变化，并确定与此类转介可能性增加相关的患者特征。
方法
利用1998 - 99年至2014 - 15年（含）的加权就诊数据，对改善健康评估与护理计划的数据进行二次分析。
结果
全科医生转介至物理治疗师的比例在2010年前保持稳定，之后开始增加。如果患者持有退伍军人事务部的卡片；没有医疗保健卡；为45 - 64岁的女性；或25 - 44岁的男性，则更有可能被转介至物理治疗。肌肉骨骼问题占转介的80%，但在所有接受治疗的肌肉骨骼问题中，只有6.8%被转介。
讨论
辅助医疗医疗保险福利计划项目编号增加了转介至物理治疗的比例。然而，有一些人群未被转介，但可能从物理治疗中受益。
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