美国肌肉骨骼损伤工人早期获得物理治疗和专科护理管理。
Early Access to Physical Therapy and Specialty Care Management for American Workers With Musculoskeletal Injuries.
作者信息
Phillips Timothy D, Shoemaker Michael J
机构信息
Spectrum Health Rehabilitation Services, Grand Rapids, Michigan (Dr Phillips); and Spectrum Health Rehabilitation Services, Grand Rapids, Michigan (Dr Shoemaker).
出版信息
J Occup Environ Med. 2017 Apr;59(4):402-411. doi: 10.1097/JOM.0000000000000969.
OBJECTIVE
The aim of this study was to investigate the effect of very early access to physical therapy and specialty care management in a workers' compensation population.
METHODS
A prospective pilot (n = 75) was conducted from 2012 to 2013 in which injured workers with musculoskeletal complaints received physical therapy and started care management during their initial occupational medicine clinic visit. Two retrospective comparator groups with workers' compensation claims from 2009 and 2012 were included in this study.
RESULTS
When comparing 2009 data with the 2012 to 2013 prospective pilot study, statistically significant differences were noted in favor of the prospective pilot for total costs per claim, cost of indemnity, number of therapy visits, and time to access physical therapy. When compared with the 2012 nonpilot cohort, differences were not statistically significant.
CONCLUSIONS
Expedited access to physical therapy and care management can reduce duration of care, cost of claims, and therapy visits.
目的
本研究旨在调查在工伤赔偿人群中尽早获得物理治疗和专科护理管理的效果。
方法
2012年至2013年进行了一项前瞻性试点研究（n = 75），其中有肌肉骨骼问题的受伤工人在初次职业医学门诊就诊时接受物理治疗并开始护理管理。本研究纳入了两个来自2009年和2012年工伤赔偿申请的回顾性比较组。
结果
将2009年的数据与2012年至2013年的前瞻性试点研究进行比较时，发现每次索赔的总成本、赔偿成本、治疗次数以及获得物理治疗的时间方面，前瞻性试点组具有统计学上的显著差异。与2012年的非试点队列相比，差异无统计学意义。
结论
加快获得物理治疗和护理管理可以缩短护理时间、降低索赔成本和减少治疗次数。
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