Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX.
Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, Boston, MA.
PM R. 2020 Jan;12(1):36-42. doi: 10.1002/pmrj.12202. Epub 2019 Sep 3.
Studies have revealed a higher incidence of injury and illness among elite adaptive athletes when compared to able-bodied athletes in competition. However, individuals with disabilities report poorer access to health care.
The purpose of this study is to identify differences in healthcare access, satisfaction, and unmet needs between recreational adaptive and able-bodied athletes in all sports and within a single sport (hockey).
Cross-sectional, survey-based study.
Recreation sports programs in Boston, MA and Chicago, IL.
Adult, recreational, competitive adaptive, and able-bodied athletes.
Not applicable.
MAIN OUTCOME MEASURE(S): The Short-Form Patient Satisfaction Questionnaire (PSQ-18) for healthcare access and satisfaction; percentage of athletes reporting unmet sports-related healthcare needs in the prior year.
Sixty adaptive athletes (78% male, age 35.7 ± 12.4 years) and 65 able-bodied athletes (40% male, age 34.9 ± 11.9 years) participated. Mean access and satisfaction scores were not significantly different between groups in all sports (P = .53 and P = .19, respectively) or hockey (P = .28 and P = .55, respectively). Unmet needs were more commonly reported among adaptive athletes (18.3% all sports, 20.0% hockey) as compared to able-bodied athletes (9.2% all sports, 4.0% hockey). This reached statistical significance in the hockey group (P = .03), but not all sports (P = .12).
No differences were seen between groups in healthcare access or satisfaction scores. Adaptive athletes of the same sport reported a higher rate of unmet sports-related healthcare needs but with few doctor's visits in the preceding year, suggesting discrepancies in expectations and healthcare-seeking behavior.
III.
与健全运动员相比，精英适应运动员在比赛中受伤和患病的发生率更高。然而，残疾人报告称他们获得医疗保健的机会较差。
本研究旨在确定所有运动项目和单一运动项目（曲棍球）中，娱乐性适应运动员和健全运动员在医疗保健获取、满意度和未满足需求方面的差异。
横断面、基于调查的研究。
马萨诸塞州波士顿和伊利诺伊州芝加哥的娱乐体育项目。
成年、娱乐性、竞技性适应运动员和健全运动员。
不适用。
医疗保健获取和满意度的短形式患者满意度问卷（PSQ-18）；报告前一年未满足与运动相关的医疗保健需求的运动员比例。
60 名适应运动员（78%男性，年龄 35.7±12.4 岁）和 65 名健全运动员（40%男性，年龄 34.9±11.9 岁）参与了研究。在所有运动项目（P=0.53 和 P=0.19）或曲棍球（P=0.28 和 P=0.55）中，两组之间的平均获取和满意度评分没有显著差异。与健全运动员（所有运动项目 9.2%，曲棍球 4.0%）相比，适应运动员更常报告未满足的与运动相关的医疗保健需求（所有运动项目 18.3%，曲棍球 20.0%）。在曲棍球组中，这达到了统计学意义（P=0.03），但在所有运动项目中未达到统计学意义（P=0.12）。
在医疗保健获取或满意度评分方面，两组之间没有差异。同一运动项目的适应运动员报告未满足的与运动相关的医疗保健需求的比例较高，但在前一年的就诊次数较少，这表明在预期和寻求医疗保健行为方面存在差异。
III 级。
