Culpepper M I, Niemann K M
South Med J. 1987 Mar;80(3):336-8. doi: 10.1097/00007611-198703000-00015.
To ascertain the use of professional personnel in health care among secondary school athletics in Alabama, a survey was sent to all high schools in the state. Smaller schools (classified 1A) are located an average of 10.8 miles from the nearest medical facility, while for larger schools (classified 4A) the average is 3.2 miles. Overall, 55% have a team physician; primary care physicians represent 65.8% and orthopedists 13%. Only 40% of the team physicians conduct preseason physical examinations for the boys and 25% for the girls. Also, 65% of all the schools reported that a physician was not readily available for practice and games for boys' or girls' teams. Almost 90% of the 4A schools reported that a physician lives in the community, compared to 30% for the 1A schools. On this survey, a physician or athletic trainer outranked a medical facility or training room as being most important to their athletic program, suggesting that the greatest need in health care among high schools in Alabama is the presence of personnel trained in athletic injuries.
为确定阿拉巴马州中学体育活动中医疗专业人员的使用情况，向该州所有高中发放了一份调查问卷。规模较小的学校（1A类）距离最近的医疗设施平均为10.8英里，而规模较大的学校（4A类）平均距离为3.2英里。总体而言，55%的学校有队医；其中初级保健医生占65.8%，骨科医生占13%。只有40%的队医为男生进行季前体检，为女生进行季前体检的比例为25%。此外，65%的学校表示，男生或女生运动队在训练和比赛时无法随时找到医生。在4A类学校中，近90%的学校称有医生居住在社区，而1A类学校这一比例为30%。在本次调查中，对于体育项目来说，队医或运动训练师比医疗设施或训练室更为重要，这表明阿拉巴马州高中医疗保健方面最迫切的需求是配备受过运动损伤培训的人员。
