TRENDS IN THE USE AND CHARACTERISTICS OF CHIROPRACTIC SERVICES IN THE DEPARTMENT OF VETERANS AFFAIRS
TRENDS IN THE USE AND CHARACTERISTICS OF CHIROPRACTIC SERVICES IN THE DEPARTMENT OF VETERANS AFFAIRS
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DOI：
10.1016/j.jmpt.2016.04.005
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发表时间：
2016-06-01
影响因子：
1.3
通讯作者：
Brandt, Cynthia A.
中科院分区：
文献类型：
--
作者：
Lisi, Anthony J.;Brandt, Cynthia A.
目的：本研究的目的是分析国家的发展趋势和主要特点的退伍军人事务部（VA）脊椎按摩服务的提供和脊椎按摩提供者的劳动力，因为他们最初的incention.Methods：这是一个系列的横断面分析的VA行政数据从脊椎按摩服务的第一个记录到2015年9月30日。数据来自VA的Corporate Data Warehouse，并采用描述性统计进行分析。从2004年10月1日到2015年9月30日，VA脊椎按摩诊所的年度患者人数从4052人增加到37349人（821.7%），而每年脊医求诊人次则由20072人次增至159366人次（693.9%）。典型的VA整脊治疗患者是男性，年龄在45至64岁之间，被视为下背部和/或颈部疾病，并接受整脊脊柱操作和评估和管理服务。退伍军人事务部脊椎指压治疗诊所的总数从27个增长到65个（每年增长9.4%），脊椎指压治疗师的雇员人数从13个增长到86个（每年增长21.3%）。典型的退伍军人管理局脊椎按摩师雇员是一个45.9岁的男子，在退伍军人管理局工作了4.5年，并获得每年97860美元的补偿。VA还购买了从2000年开始，从私营部门的脊医护理，增长到159533脊医访问19435患者的成本$11155654 annually.Conclusions：使用脊医服务和脊医的劳动力在VA大幅增长了十多年，因为它们的推出。
Objectives: The purpose of this study was to analyze national trends and key features of the Department of Veterans Affairs' (VA's) chiropractic service delivery and chiropractic provider workforce since their initial inception.Methods: This was a serial cross-sectional analysis of the VA administrative data sampled from the first record of chiropractic services in VA through September 30, 2015. Data were obtained from VA's Corporate Data Warehouse and analyzed with descriptive statistics.Results: From October 1, 2004, through September 30, 2015, the annual number of patients seen in VA chiropractic clinics increased from 4052 to 37 349 (821.7%), and the annual number of chiropractic visits increased from 20072 to 159366 (693.9%). The typical VA chiropractic patient is male, is between the ages of 45 and 64, is seen for lowback and/or neck conditions, and receives chiropractic spinal manipulation and evaluation and management services. The total number of VA chiropractic clinics grew from 27 to 65 (9.4% annually), and the number of chiropractor employees grew from 13 to 86 (21.3% annually). The typical VA chiropractor employee is a 45.9-year-old man, has worked in VA for 4.5 years, and receives annual compensation of $97860. VA also purchased care from private sector chiropractors starting in 2000, growing to 159533 chiropractic visits for 19435 patients at a cost of $11155654 annually.Conclusions: Use of chiropractic services and the chiropractic workforce in VA have grown substantially over more than a decade since their introduction.