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Athletic Training Services During Daily Patient Encounters: A Report From the Athletic Training Practice-Based Research Network

机译:日常患者遭遇中的运动训练服务:基于运动训练实践的研究网络的报告

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Context: Athletic training services such as taping, wrapping, and stretching are common during routine care but rarely captured in traditional patient documentation. These clinical data are vital when determining appropriate medical coverage and demonstrating the value and worth of athletic trainers (ATs). Objective: To analyze clinical data from daily encounter forms within the Athletic Training Practice-Based Research Network (AT-PBRN). Design: Descriptive study. Setting: Secondary school athletic training clinics. Patients or Other Participants: Adolescent patients (n = 4888; age = 16.3 ± 1.4 years) seeking care from ATs. Main Outcome Measure(s): We used Web-based electronic medical records from December 1, 2009, to July 1, 2015, to obtain patient characteristics via deidentified data. Descriptive data regarding practice characteristics from patient encounter forms were analyzed and reported as percentages and frequencies. Results: A total of 36?245 patient encounters (mean = 7.5 ± 11.6 encounters per patient) were recorded. Football, basketball, soccer, track, and volleyball accounted for 85.1% of all encounters. Most encounters were for preventive services (48.8%, n = 22?329), followed by care for a current injury (37.2%, n = 17?027) and care for a new injury (13.9%, n = 6368). Of the preventive encounters, taping (52.7%) was the most common service provided, followed by ice- or hot-pack application (25.4%) and treatment (9.6%). Taping (28.7%) was also the most common service for current injuries, followed by treatment (26.7%) and ice- or hot-pack application (26.2%). Conclusions: Our findings highlight the unique role of ATs as health care providers who provide substantial preventive services to their patients. Further, these results represent one of the first attempts to describe athletic training services related to nontime-loss injuries, emphasizing the significant role that ATs play in the health care of secondary school athletes. These findings should help clinicians and administrators make more informed decisions regarding appropriate medical coverage.
机译:背景:运动训练服务(例如贴带,包裹和拉伸)在常规护理期间很常见,但很少在传统的患者文档中介绍。这些临床数据在确定适当的医疗保险并证明运动训练师(AT)的价值和价值时至关重要。目的:分析基于运动训练实践的研究网络(AT-PBRN)中日常相遇形式的临床数据。设计:描述性研究。地点:中学运动训练诊所。患者或其他参与者:寻求AT护理的青春期患者(n = 4888;年龄= 16.3±1.4岁)。主要指标:我们使用2009年12月1日至2015年7月1日的基于Web的电子医疗记录,以通过识别数据获得患者特征。分析了与患者相遇形式有关的实践特征的描述性数据,并以百分比和频率报告。结果:总共记录了36至245位患者(平均每位患者7.5±11.6次)。足球,篮球,足球,田径和排球占所有比赛的85.1%。大多数遭遇是预防性服务(48.8%,n = 22?329),其次是当前受伤的护理(37.2%,n = 17?027)和新伤的护理(13.9%,n = 6368) )。在预防性接触中,提供包带(52.7%)是最常见的服务,其次是冰包或热敷包(25.4%)和治疗(9.6%)。包扎(28.7 %)也是当前受伤的最常见服务,其次是治疗(26.7 %)和冰袋或热敷包(26.2 %)。结论:我们的发现突出了AT作为医疗保健提供者的独特作用,为患者提供实质性的预防服务。此外,这些结果是描述与非失时伤害有关的运动训练服务的首次尝试之一,强调了AT在中学运动员的医疗保健中发挥的重要作用。这些发现应有助于临床医生和管理人员就适当的医疗保险做出更明智的决定。

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