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

机译:每日患者遇到的运动训练服务: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 = 17027) 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:背景信息:在常规护理期间携带,包装和拉伸等运动培训服务,但在传统患者文件中很少捕获。这些临床数据在确定适当的医疗覆盖范围和展示运动培训师(ATS)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)中的日常遭遇形式的临床资料。设计:描述性研究。环境:中学运动训练诊所。患者或其他参与者:青少年患者(n = 4888;年龄= 16.3±1.4岁)寻求护理。主要成果措施:我们在2009年12月1日至2015年7月1日之前使用了基于网络的电子医疗记录,以通过实行数据获得患者特征。分析了关于患者遇到形式的实践特征的描述性数据,并报告为百分比和频率。结果:总共36个245例患者遇到(平​​均=每位患者的每位患者遇到的次数)。足球,篮球,足球,赛道和排球占所有遭遇的85.1%。大多数遭遇为预防性服务(48.8%,n = 22 329),然后小心当前损伤(37.2%,n = 17027),并护理新损伤(13.9%,n = 6368)。在预防性遭遇中,胶带(52.7%)是提供最常见的服务,其次是冰或热包应用(25.4%)和治疗(9.6%)。录音(28.7%)也是目前伤害最常见的服务,其次是治疗(26.7%)和冰或热包应用(26.2%)。结论:我们的调查结果突出了ATS作为医疗保健提供者的独特作用,为患者提供了大量预防服务。此外,这些结果代表了描述与非损失伤害有关的运动培训服务的首次尝试之一,强调了在中学运动员的医疗保健中发挥的重要作用。这些调查结果应帮助临床医生和管理员对适当的医疗保险做出更明智的决定。

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