成年人慢性疼痛诊断后接受物理治疗和脊椎按摩治疗的情况：2016-2018 年罗德岛全民医保索赔数据库分析。
Receipt of Physical Therapy and Chiropractic Care by Adults Diagnosed with Chronic Pain: Analysis of the 2016-2018 Rhode Island All Payer Claims Database.
机构信息
Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.
Department of Physical Therapy, Massachusetts General Hospital Institute of Health Professions School of Health and Rehabilitation Sciences, Boston, MA.
出版信息
R I Med J (2013). 2022 May 2;105(4):51-56.
OBJECTIVE
To examine trends and factors associated with physical therapy (PT) and chiropractic care use among Rhode Islanders with private or publicly-funded health insurance who were diagnosed with chronic pain from 2016-2018.
METHODS
We measured monthly PT and chiropractic care use from the RI All Payer Claims Database, and conducted logistic regression to identify factors associated with utilization.
RESULTS
There were 284,942 unique adults with chronic pain representing over one-quarter of insured persons in the state. Chiropractic care use remained unchanged but was more prevalent (7.2%) than PT whose use increased minimally from 4.0% (2016) to 4.5% (2018). Traditional Medicare or Medicaid enrollment was associated with lower odds of receiving PT and chiropractic care than in private plans.
CONCLUSIONS
PT and chiropractic care use varied across payers; however, there were little to no changes in their use over time despite clinical guidelines that encourage non-pharmacologic options to manage chronic pain.
目的
调查罗德岛私人或公共健康保险的慢性疼痛患者在 2016 年至 2018 年间接受物理治疗 (PT) 和脊椎按摩治疗的趋势和相关因素。
方法
我们从 RI 所有支付者索赔数据库中测量每月的 PT 和脊椎按摩治疗使用情况，并进行逻辑回归以确定与利用相关的因素。
结果
有 284942 名患有慢性疼痛的独特成年人，占该州参保人数的四分之一以上。脊椎按摩疗法的使用保持不变，但更为普遍（7.2%），而 PT 的使用则略有增加，从 2016 年的 4.0%增加到 2018 年的 4.5%。与私人计划相比，传统的医疗保险或医疗补助计划的参与与接受 PT 和脊椎按摩治疗的几率降低有关。
结论
PT 和脊椎按摩治疗的使用因支付者而异；然而，尽管临床指南鼓励使用非药物选择来管理慢性疼痛，但它们的使用在时间上几乎没有变化。
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