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现场整脊护理作为一项员工福利:单地点案例研究。

On-Site Chiropractic Care as an Employee Benefit: A Single-Location Case Study.

作者信息

Minicozzi Salvatore J, Russell Brent S

机构信息

Intelligent Chiropractic, Sandy Springs, Georgia.

Dr. Sid E. Williams Center for Chiropractic Research, Life University, Marietta, Georgia.

出版信息

J Chiropr Med. 2017 Sep;16(3):183-188. doi: 10.1016/j.jcm.2017.03.001. Epub 2017 Sep 22.

DOI:10.1016/j.jcm.2017.03.001
PMID:29097946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5659805/
Abstract

OBJECTIVE

The purpose of this report is to describe the role of on-site chiropractic care in one corporate environment.

METHODS

A part-time chiropractic practice that provides services to a single company on site, 1 day per week, is described. Most care is oriented toward "wellness," is paid for by the employer, and is limited only by the chiropractor's few weekly hours of on-site availability. With approval from the company, the authors conducted an absenteeism analysis after obtaining ethics approval and consent from employee-patients who received care between 2012 and 2014. Comparisons of absenteeism rates of the sample were compared with lost worktime rates from the US Bureau of Labor Statistics' Labor Force Statistics.

RESULTS

Of 40 current employees, 35 used chiropractic services; 17 employee-patients met the inclusion criteria. The lost worktime rates of those using chiropractic services (0.72%, 0.55%, and 0.67%, for 2012, 2013, and 2014, respectively) were lower than corresponding rates from Labor Force Statistics (1.5%, 1.2%, and 1.1%).

CONCLUSIONS

Absenteeism for the employee-patients was lower than equivalent national figures in this sample of workers. Though these results may or may not be related to the chiropractic care, these findings prompt further investigation into this relationship.

摘要

目的

本报告旨在描述现场整脊疗法在一个企业环境中的作用。

方法

描述了一个每周为一家公司提供一天现场服务的兼职整脊疗法诊所。大多数治疗以“健康维护”为导向,由雇主付费,且仅受整脊治疗师每周有限的现场工作时间限制。在获得公司批准后,作者在获得伦理批准并征得2012年至2014年期间接受治疗的员工患者同意后,进行了旷工分析。将样本的旷工率与美国劳工统计局劳动力统计中的误工率进行了比较。

结果

在40名在职员工中,35人使用了整脊疗法服务;17名员工患者符合纳入标准。使用整脊疗法服务的员工(2012年、2013年和2014年的误工率分别为0.72%、0.55%和0.67%)的误工率低于劳动力统计中的相应比率(1.5%、1.2%和1.1%)。

结论

在这个工人样本中,员工患者的旷工率低于全国平均水平。尽管这些结果可能与整脊疗法有关,也可能无关,但这些发现促使人们进一步研究这种关系。

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本文引用的文献

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Absenteeism and Employer Costs Associated With Chronic Diseases and Health Risk Factors in the US Workforce.美国劳动力中与慢性病和健康风险因素相关的旷工现象及雇主成本。
Prev Chronic Dis. 2016 Oct 6;13:E141. doi: 10.5888/pcd13.150503.
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Effectiveness and Economic Evaluation of Chiropractic Care for the Treatment of Low Back Pain: A Systematic Review of Pragmatic Studies.脊椎按摩疗法治疗腰痛的有效性和经济评估:实用研究的系统评价
PLoS One. 2016 Aug 3;11(8):e0160037. doi: 10.1371/journal.pone.0160037. eCollection 2016.
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Dose-response of spinal manipulation for cervicogenic headache: study protocol for a randomized controlled trial.颈椎源性头痛的脊柱推拿剂量反应:一项随机对照试验的研究方案
Chiropr Man Therap. 2016 Jun 8;24:23. doi: 10.1186/s12998-016-0105-z. eCollection 2016.
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Economic impact of musculoskeletal disorders (MSDs) on work in Europe.肌肉骨骼疾病(MSDs)对欧洲工作的经济影响。
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Impact of Employer-Sponsored Onsite Pharmacy and Condition Management Programs on Medication Adherence.雇主赞助的现场药房和疾病管理项目对药物依从性的影响。
J Manag Care Spec Pharm. 2015 Aug;21(8):670-7. doi: 10.18553/jmcp.2015.21.8.670.
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Demonstrating high performance at an on-site corporate health center.在企业现场健康中心展现出卓越表现。
Benefits Q. 2014;30(4):55-67.
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Depression in working adults: comparing the costs and health outcomes of working when ill.在职成年人的抑郁症:比较患病时工作的成本和健康结果。
PLoS One. 2014 Sep 2;9(9):e105430. doi: 10.1371/journal.pone.0105430. eCollection 2014.
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Impact of chiropractic services at an on-site health center.在现场健康中心提供脊骨神经医学服务的影响。
J Occup Environ Med. 2014 Sep;56(9):990-2. doi: 10.1097/JOM.0000000000000215.
9
Beyond spinal manipulation: should Medicare expand coverage for chiropractic services? A review and commentary on the challenges for policy makers.超越脊柱推拿:医疗保险应扩大对整脊服务的覆盖范围吗?对政策制定者面临挑战的综述与评论
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Prevention of low back pain: effect, cost-effectiveness, and cost-utility of maintenance care - study protocol for a randomized clinical trial.预防下背痛:维持性治疗的效果、成本效益和成本效用 - 一项随机临床试验的研究方案。
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