Gray Shannon E, Tudtud Benedict, Sheehan Luke R, Di Donato Michael
Healthy Working Lives Research Group, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, VIC, 3004, Australia.
J Occup Rehabil. 2025 Jun;35(2):366-373. doi: 10.1007/s10926-024-10209-8. Epub 2024 May 25.
The aims of this study are to determine how continuous the care provided by physiotherapists to compensated workers with low back pain is, what factors are associated with physiotherapy continuity of care (CoC; treatment by the same provider), and what the association between physiotherapy CoC and duration of working time loss is.
Workers' compensation claims and payments data from Victoria and South Australia were analysed. Continuity of care was measured with the usual provider continuity metric. Binary logistic regression examined factors associated with CoC. Cox regression models examined the association between working time loss and CoC.
Thirty-six percent of workers experienced complete CoC, 25.8% high CoC, 26.1% moderate CoC, and 11.7% low CoC. Odds of complete CoC decreased with increased service volume. With decreasing CoC, there was significantly longer duration of compensated time loss.
Higher CoC with a physiotherapist is associated with shorter compensated working time loss duration for Australian workers with low back pain.
本研究旨在确定物理治疗师为下背痛补偿工人提供的护理连续性如何，哪些因素与物理治疗护理连续性（CoC；由同一提供者进行治疗）相关，以及物理治疗CoC与工作时间损失持续时间之间的关联是什么。
分析了来自维多利亚州和南澳大利亚州的工人补偿索赔和支付数据。护理连续性采用常规提供者连续性指标进行衡量。二元逻辑回归分析了与CoC相关的因素。Cox回归模型分析了工作时间损失与CoC之间的关联。
36%的工人经历了完全CoC，25.8%为高CoC，26.1%为中度CoC，11.7%为低CoC。完全CoC的几率随着服务量的增加而降低。随着CoC的降低，补偿时间损失的持续时间显著延长。
对于澳大利亚下背痛工人，与物理治疗师的更高CoC与更短的补偿工作时间损失持续时间相关。
