Geographical distribution of judo therapists and orthopedists in Japan
Geographical distribution of judo therapists and orthopedists in Japan
复制标题
DOI：
10.1016/j.jmpt.2005.03.007
复制
发表时间：
2005-05-01
影响因子：
1.3
通讯作者：
Yano, E
中科院分区：
文献类型：
--
作者：
Inoue, S;Karita, K;Yano, E
背景资料：柔道疗法是一种独特而悠久的日本commedical专业，专门在医生的办公室手动治疗骨折和扭伤。柔道治疗师与骨科医生的执业范围存在重叠，近年来二者之间的争议逐渐显现。目的：通过比较柔道治疗师与骨科医生在全国和地市两级的地理分布，探讨两者的关系。研究设计：横断面研究。方法：通过网络黄页和日本人口普查数据获得每个城市每10万人口的柔道治疗设施和整形外科医生的数量。洛伦兹曲线和基尼系数计算显示的分布和比较柔道治疗设施和骨科医生每10万population.Results：柔道治疗设施的中位数每10万人口在所有城市为12.0（范围0-135）和骨科医生为4.3（0-186）。全国柔道治疗设施和骨科医生的基尼系数分别为0.29和0.36，respectively。结论：这些数据显示柔道治疗设施的分布相对均匀的骨科医生。在较小的城市，柔道治疗设施可以填补矫形外科医生的空缺。至于较大的城市，需要进一步研究，以审查它们之间的关系是竞争还是互补。
Background: Judo therapy is a unique and long-established Japanese comedical profession, specialized in manually treating fractures and sprains in practitioners' offices. Having the overlapped scopes of set-vices between judo therapists and orthopedists, disputes between the 2 have gradually emerged recently.Objective: To examine the relationship between judo therapists and orthopedists by comparing their geographic distributions at the whole country level and at prefecture level.Study Design: Cross-sectional study.Methods: The numbers of judo therapist facilities and orthopedists per 100 000 population in each municipality were obtained through web yellow pages and from the Japanese census data. Lorenz curves and Gini indices were calculated to show the distributions and to compare the numbers of judo therapist facilities and orthopedists per 100000 population.Results: The median number of judo therapist facilities per 100 000 population in all municipalities was 12.0 (range 0-135) and that for orthopedists was 4.3 (0-186). The Gini indices of the nationwide judo therapist facilities and those for orthopedists were 0.29 and 0.36, respectively.Conclusion: These data show the relatively homogeneous distribution of judo therapist facilities compared with orthopedists. In smaller municipalities, judo therapist facilities may fill in the absence of orthopedists. As for lager municipalities, further study is needed to examine whether the relationships between them are competitive or complementary.