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向足病医生转诊的整骨医生的人口统计学、实践和临床管理特征:对澳大利亚整骨医生全国代表性样本的二次分析。

Demographic, practice and clinical management characteristics of osteopaths referring to podiatrists: secondary analysis of a nationally representative sample of Australian osteopaths.

机构信息

College of Health and Biomedicine, Victoria University, Melbourne, Australia.

School of Public Health, University of Technology Sydney, Sydney, Australia.

出版信息

BMC Health Serv Res. 2022 Feb 18;22(1):224. doi: 10.1186/s12913-022-07520-6.

Abstract

BACKGROUND

Interprofessional care is paramount in contemporary healthcare practice. How different professions interact, and the characteristics of those practitioners who practice in an interprofessional way are rarely described in the literature. The aim of the current work was to identify the demographic, practice and clinical management characteristics of Australian osteopaths who report referring to podiatrists.

METHODS

The study was a secondary analysis of data from the Osteopathy Research and Innovation Network (ORION). Inferential statistics were generated to identify statistically significant demographic, practice and clinical management characteristics associated with referrals to podiatrists by Australian osteopaths.

RESULTS

Nine-hundred and ninety-two Australian osteopaths responded to the questionnaire. Sending referrals to a podiatrist was reported by 651 participants (65.6%). Female Australian osteopaths were less likely to report referring to podiatrists compared to male osteopaths (OR 0.76, 95%CI 0.59-0.99). Australian osteopaths who reported referring to podiatrists were more likely to report receiving referrals from podiatrists (OR 9.75, 95%CI 6.98-13.61), use orthopaedic testing in patient assessment (OR 7.62, 95%CI 2.82-20.60), and often treat patients with postural disorders (OR 1.71, 95%CI 1.03-2.26), compared to osteopaths who do not refer to podiatrists.

CONCLUSION

This study provides initial evidence for the referral relationship between Australian osteopaths and podiatrists. Further work could explore the nature of these referrals, including the complaints resulting in referral and outcomes of care. This information will be useful to those involved in health policy development and the professions advocating for their role in the wider healthcare system.

摘要

背景

跨专业护理在当代医疗实践中至关重要。不同专业之间的互动方式以及以跨专业方式执业的从业者的特征在文献中鲜有描述。本研究旨在确定报告向足病医生转介的澳大利亚整骨医生的人口统计学、实践和临床管理特征。

方法

本研究是对整骨医学研究和创新网络(ORION)数据的二次分析。采用推断统计学方法,确定与澳大利亚整骨医生向足病医生转介相关的具有统计学意义的人口统计学、实践和临床管理特征。

结果

992 名澳大利亚整骨医生对问卷做出了回应。651 名参与者(65.6%)报告向足病医生转介。与男性整骨医生相比,女性澳大利亚整骨医生报告向足病医生转介的可能性较小(OR 0.76,95%CI 0.59-0.99)。报告向足病医生转介的澳大利亚整骨医生更有可能收到足病医生的转介(OR 9.75,95%CI 6.98-13.61),在患者评估中使用骨科检查(OR 7.62,95%CI 2.82-20.60),并且经常治疗姿势障碍患者(OR 1.71,95%CI 1.03-2.26),与不向足病医生转介的整骨医生相比。

结论

本研究为澳大利亚整骨医生和足病医生之间的转介关系提供了初步证据。进一步的研究可以探索这些转介的性质,包括导致转介的投诉和护理结果。这些信息将对参与制定卫生政策和倡导其在更广泛医疗体系中角色的专业人员有用。

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