WWAMI [Washington, Wyoming, Alaska, Montana, Idaho] Medical Education Program.
WWAMI Medical Education Program, University of Washington, Seattle.
J Athl Train. 2023 Feb 1;58(2):163-176. doi: 10.4085/1062-6050-0051.22.
The prevalence of student-run clinics is rising due to educational benefits and the ability to provide cost-effective care to underserved patients. Current literature on the effect of athletic training student-run clinics on patient outcomes and experiences is limited.
To explore patient-reported outcomes (PROs), patient experiences, and patient demographics in an athletic training student-run clinic.
Mixed-methods study: cross-sectional survey with retrospective analysis of deidentified patient outcomes from November 2017-October 2021.
Athletic training student-run clinic.
A total of 388 patients from the university (ie, students and staff) and local community with a variety of musculoskeletal injuries.
MAIN OUTCOME MEASURE(S): Participants completed a packet to provide their responses to demographic items and PRO scales: Disablement in the Physically Active Scale Short Form-8, Numeric Pain Rating Scale, Patient-Specific Functional Scale, and Global Rating of Change Scale at 3 time points. They also completed an electronic patient experience survey after their final visit to the student-run clinic.
Most participants reported clinically significant improvements across all PRO scales: an average improvement of 39.1% in pain, 39.3% in function, and 43.1% in quality of life in <11 days, on average. Furthermore, they described a high level of satisfaction with care and a globally positive experience at the student-run clinic.
Patients experienced clinically significant improvements in pain, function, disablement, and quality of life when receiving care from athletic training students at a student-run clinic. In addition, they indicated a high level of satisfaction with the care provided and a positive overall experience with an athletic training student-run clinic.
由于教育效益和为服务不足的患者提供具有成本效益的护理的能力,学生经营的诊所越来越多。关于运动训练学生经营的诊所对患者结果和体验的影响,目前的文献有限。
探讨运动训练学生经营的诊所中患者报告的结果(PROs)、患者体验和患者人口统计学特征。
混合方法研究:横断面调查,对 2017 年 11 月至 2021 年 10 月期间未经识别的患者结果进行回顾性分析。
运动训练学生经营的诊所。
共有 388 名来自大学(即学生和工作人员)和当地社区的患有各种肌肉骨骼损伤的患者。
参与者填写了一份问卷,提供了他们对人口统计学项目和 PRO 量表的回答:身体活跃量表短表 8 项残疾量表、数字疼痛评分量表、患者特定功能量表和全球变化量表在 3 个时间点的评分。他们还在最后一次就诊于学生经营的诊所后完成了电子患者体验调查。
大多数参与者报告在所有 PRO 量表上均有临床显著改善:疼痛平均改善 39.1%,功能平均改善 39.3%,生活质量平均改善 43.1%,平均在<11 天内。此外,他们描述了对护理的高度满意和在学生经营的诊所的整体积极体验。
当患者在学生经营的诊所接受运动训练学生的护理时,他们经历了疼痛、功能、残疾和生活质量的临床显著改善。此外,他们表示对提供的护理非常满意,并对运动训练学生经营的诊所的整体体验感到积极。