From the Healthy Working Lives Research Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia (Sheehan, Dr Donato, Dr Gray, Dr Lane, Dr Vreden, Dr Collie); Hazelwood Health Study, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia (Dr Lane).
J Occup Environ Med. 2022 Oct 1;64(10):e606-e612. doi: 10.1097/JOM.0000000000002643. Epub 2022 Jul 19.
The aims of the study are to determine the continuity of care (CoC) provided by primary care physicians among workers with low back pain, to identify factors associated with CoC, and to investigate whether CoC is associated with working time loss.
Continuity of care was measured with the usual provider continuity metric. Ordinal logistic regression models examined factors associated with CoC. Quantile regression models examined the association between working time loss and CoC.
Complete CoC was observed in 33.8% of workers, high CoC among 37.7%, moderate CoC in 22.1%, and low CoC in 6.4%. In workers with more than 2-months time loss, those with complete CoC had less time off work.
Higher CoC with a primary care physician is associated with less working time loss and this relationship is strongest in the subacute phase of low back pain.
本研究旨在确定初级保健医生为腰痛患者提供的连续性护理（CoC），确定与 CoC 相关的因素，并探讨 CoC 是否与工作时间损失相关。
采用常用提供者连续性指标来衡量连续性护理。有序逻辑回归模型用于研究与 CoC 相关的因素。分位数回归模型用于研究工作时间损失与 CoC 之间的关联。
33.8%的工人实现了完全 CoC，37.7%的工人实现了高度 CoC，22.1%的工人实现了中度 CoC，6.4%的工人实现了低度 CoC。在工作时间损失超过 2 个月的工人中，完全 CoC 的工人工作时间损失更少。
与初级保健医生的 CoC 越高，工作时间损失越少，这种关系在腰痛的亚急性期最强。
