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首页> 外文期刊>Journal of athletic training >Medical Claims at National Collegiate Athletic Association Institutions: The Athletic Trainer's Role
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Medical Claims at National Collegiate Athletic Association Institutions: The Athletic Trainer's Role

机译：国家大学体育协会机构的医疗要求：体育教练的作用

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Context National Collegiate Athletic Association (NCAA) institutions are required to certify insurance coverage of medical expenses for injuries student-athletes sustain while participating in NCAA events. Institutions assign this role to a variety of employees, including athletic trainers (ATs), athletic administrators, business managers, secretaries, and others. In 1994, Street et al observed that ATs were responsible for administering medical claim payments at 68.1% of institutions. Anecdotally, ATs do not always feel well suited to perform these tasks. Objective To investigate the ways athletic associations and departments coordinate athletic medical claims and the role of ATs in this process. Design Cross-sectional study. Setting Online Web-based survey. Patients or Other Participants All 484 National Athletic Trainers' Association members self-identified as a head AT within an NCAA collegiate or university setting were solicited to respond to the online Web-based survey. Responses from 184 (38%) head ATs employed in collegiate settings were analyzed. Main Outcome Measure(s) Institutional demographic characteristics, type of insurance coverage, person assigned to handle insurance claims, hours spent managing claims, and training for the task. Results In 62% of institutions, an AT was responsible for processing athletic medical claims. The head and assistant ATs spent means of 6.17 and 10.32 hours per week, respectively, managing claims. Most respondents (62.1%) reported no formal training in handling athletic medical insurance claims. When asked when and how it was most appropriate to learn these concepts, 35.3% cited within an accredited athletic training program curriculum, 32.9% preferred on-the-job training, and 31.1% selected via continuing education. Conclusions At NCAA institutions, ATs were responsible for administering athletic medical claims, a task in which most had no formal training. An AT may not possess adequate skills or time to handle athletic medical claims. Even if ATs are not solely responsible for this task, they remain involved as the coordinators of care. Athletic training programs, professional organizations that offer continuing education, and hiring institutions should consider focusing on and training appropriate personnel to manage athletic medical claims.
机译：背景信息国家大学体育协会（NCAA）的机构必须为参加NCAA活动中学生运动员遭受的伤害证明医疗费用的保险范围。机构将这一角色分配给各种员工，包括运动训练师（AT），运动管理人员，业务经理，秘书等。 1994年，Street等人观察到AT负责管理68.1％的机构的医疗索赔。有趣的是，AT并不总是很适合执行这些任务。目的探讨运动协会和部门协调运动医疗要求的方式以及AT在此过程中的作用。设计横断面研究。设置基于网络的在线调查。患者或其他参与者被要求自认为NCAA大学或大学环境中的AT主管的所有484个国家体育教练协会成员都对基于Web的在线调查做出了回应。分析了来自大学环境中使用的184个（38％）机头AT的响应。主要成果指标机构的人口统计学特征，保险范围的类型，指派来处理保险索赔的人员，管理索赔所花费的时间以及对该任务的培训。结果在62％的机构中，AT负责处理运动医疗索赔。首席AT和助理AT分别花了6.17和10.32个小时的时间来管理索赔。大多数受访者（62.1％）报告说，他们在处理运动医疗保险索赔方面没有接受过正式培训。当被问及何时和如何最合适地学习这些概念时，在经认可的运动训练课程中，有35.3％的人认为该表述，有32.9％的人倾向于在职培训，有31.1％的人通过继续教育进行了选择。结论在NCAA机构中，AT负责管理运动医疗索赔，大多数人没有接受过正式培训。 AT可能没有足够的技能或时间来处理运动医疗要求。即使AT并非仅负责此任务，它们仍将作为护理协调员参与其中。运动训练计划，提供继续教育的专业组织以及雇用机构，应考虑集中精力和培训适当的人员来管理运动医疗要求。

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