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首页> 外文期刊>Journal of athletic training >Key factors for providing appropriate medical care in secondary school athletics: athletic training services and budget.
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Key factors for providing appropriate medical care in secondary school athletics: athletic training services and budget.

机译：在中学田径运动中提供适当医疗护理的关键因素：运动训练服务和预算。

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CONTEXT: Research suggests that appropriate medical care for interscholastic athletes is frequently lacking. However, few investigators have examined factors related to care. OBJECTIVE: To examine medical care provided by interscholastic athletics programs and to identify factors associated with variations in provision of care. DESIGN: Cross-sectional study. SETTING: Mailed and e-mailed survey. PATIENTS OR OTHER PARTICIPANTS: One hundred sixty-six South Carolina high schools. INTERVENTION(S): The 132-item Appropriate Medical Care Assessment Tool (AMCAT) was developed and pilot tested. It included 119 items assessing medical care based on the Appropriate Medical Care for Secondary School-Age Athletes (AMCSSAA) Consensus Statement and Monograph (test-retest reliability: r = 0.89). Also included were items assessing potential influences on medical care. Presence, source, and number of athletic trainers; school size; distance to nearest medical center; public or private status; sports medicine supply budget; and varsity football regional championships served as explanatory variables, whereas the school setting, region of state, and rate of free or reduced lunch qualifiers served as control variables. MAIN OUTCOME MEASURE(S): The Appropriate Care Index (ACI) score from the AMCAT provided a quantitative measure of medical care and served as the response variable. The ACI score was determined based on a school's response to items relating to AMCSSAA guidelines. RESULTS: Regression analysis revealed associations with ACI score for athletic training services and sports medicine supply budget (both P < .001) when controlling for the setting, region, and rate of free or reduced lunch qualifiers. These 2 variables accounted for 30% of the variance in ACI score (R(2) = 0.302). Post hoc analysis showed differences between ACI score based on the source of the athletic trainer and the size of the sports medicine supply budget. CONCLUSIONS: The AMCAT offers an evaluation of medical care provided by interscholastic athletics programs. In South Carolina schools, athletic training services and the sports medicine supply budget were associated with higher levels of medical care. These results offer guidance for improving the medical care provided for interscholastic athletes.
机译：背景：研究表明，经常缺乏针对校际运动员的适当医疗服务。但是，很少有研究者检查过与护理有关的因素。目的：检查学校间体育项目提供的医疗服务，并确定与提供医疗服务的差异有关的因素。设计：横断面研究。设置：通过电子邮件发送和调查问卷。患者或其他参与者：166所南卡罗来纳州的中学。干预：开发了132个项目的适当医疗护理评估工具（AMCAT）并进行了试验测试。它包括119个评估项目，这些评估项目是根据《中学生年龄段适当医疗服务》（AMCSSAA）共识声明和专论进行的（重测信度：r = 0.89）。还包括评估对医疗的潜在影响的项目。运动训练员的存在，渊源和人数;学校规模;距最近的医疗中心的距离;公共或私人身份;运动药物供应预算;和大学橄榄球区域锦标赛是解释性变量，而学校环境，州/地区和免费或减少午餐合格者的比率则是控制变量。主要观察指标：AMCAT的适当护理指数（ACI）得分提供了医疗护理的定量指标，并用作反应变量。 ACI分数是根据学校对与AMCSSAA准则相关的项目的回答确定的。结果：回归分析显示，在控制免费午餐或减餐合格者的设置，区域和比率时，运动训练服务和运动药物供应预算的ACI得分相关（均P <.001）。这两个变量占ACI得分方差的30％（R（2）= 0.302）。事后分析显示，基于运动教练员来源的ACI得分与运动药物供应预算的大小之间存在差异。结论：AMCAT对学校间体育项目提供的医疗护理进行了评估。在南卡罗来纳州的学校中，运动训练服务和运动医学供应预算与更高水平的医疗护理有关。这些结果为改善为校际运动员提供的医疗护理提供了指导。

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