Simpson J K
University of Queensland, Sociology Department, Australia.
J Manipulative Physiol Ther. 1998 May;21(4):225-31.
In Queensland, Australia, patients with work-related injuries must receive a referral from a general medical practitioner to receive treatment from such "nontraditional" practitioners as physiotherapists, chiropractors or osteopaths, even though these nontraditional practitioners are primary care providers outside of the workers' compensation system. The Chiropractors' Association of Australia (Queensland Branch) (CAAQ) believed that injured workers wishing to receive chiropractic care stood little chance of obtaining a medical referral. On the other hand, the General Manager of the Workers' Compensation Board of Queensland maintained that injured workers had little difficulty obtaining such a referral for chiropractic care.
To canvass general medical practitioner attitudes and referral patterns to chiropractors, osteopaths, physiotherapists and other nontraditional practitioners (naturopaths).
A descriptive study in which 1509 general medical practitioners in private practice in Queensland were invited to respond to a mailed questionnaire. The sample represented 50% of all such practitioners in Queensland.
A 52% response rate was obtained with 784 (638 male, 142 female general practitioners) questionnaires returned. Respondents' ages ranged from 27 to 79 yr. The respondents' years in practice ranged from 1 to 55 yr. The survey showed that attitudes and referral patterns were distinctly different depending on the nontraditional practitioner group in question.
The survey results confirm that general medical practitioners are highly unlikely to have professional dealings with chiropractors and osteopaths, including referral of patients to said providers, even if the patient requests such a referral, and that general medical practitioners are much more likely to have professional dealings with physiotherapists than with any of the other nontraditional groups considered.
在澳大利亚昆士兰州，工伤患者必须获得全科医生的转诊才能接受物理治疗师、脊椎按摩师或整骨疗法师等“非传统”从业者的治疗，尽管这些非传统从业者是工伤赔偿系统之外的初级医疗服务提供者。澳大利亚脊椎按摩师协会（昆士兰州分会）（CAAQ）认为，希望接受脊椎按摩治疗的受伤工人获得医疗转诊的机会渺茫。另一方面，昆士兰州工伤赔偿委员会总经理坚称，受伤工人获得脊椎按摩治疗转诊并无太大困难。
探讨全科医生对脊椎按摩师、整骨疗法师、物理治疗师及其他非传统从业者（自然疗法师）的态度和转诊模式。
一项描述性研究，邀请昆士兰州1509名私人执业的全科医生回复邮寄的问卷。该样本占昆士兰州所有此类从业者的50%。
共收到784份问卷回复（638名男性、142名女性全科医生），回复率为52%。受访者年龄在27岁至79岁之间，执业年限在1年至55年之间。调查显示，态度和转诊模式因所涉及的非传统从业者群体而异。
调查结果证实，全科医生极不可能与脊椎按摩师和整骨疗法师进行专业往来，包括将患者转诊至上述提供者，即便患者提出此类转诊请求；而且全科医生与物理治疗师进行专业往来的可能性远高于与其他任何被考虑的非传统群体。
