Patients using chiropractors in north America - Who are they, and why are they in chiropractic care?
Patients using chiropractors in north America - Who are they, and why are they in chiropractic care?
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DOI：
10.1097/00007632-200202010-00018
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发表时间：
2002-02-01
期刊：
影响因子：
3
通讯作者：
Shekelle, PG
中科院分区：
文献类型：
--
作者：
Coulter, ID;Hurwitz, EL;Shekelle, PG
总结。背景数据和目标。1997年，估计有42%的美国人口使用替代医疗保健，脊椎按摩师占估计总访问量的31%。尽管这种高水平的使用，很少有经验的信息，谁使用脊椎按摩护理或为什么。作者调查了6个研究地点随机抽样的脊医（n = 131），并系统抽样的脊医患者在1天内（n = 1275）从参与脊医寻求护理。调查收集了有关患者寻求脊椎按摩治疗的原因、健康状况、健康态度和信仰以及满意度的数据。除了描述性统计，作者比较了患者和脊医之间的数据，以及患者和以前发表的其他人群的健康状况数据，校正了脊医内患者的聚类。超过70%的病人指出背部和颈部的问题是他们的健康问题，他们寻求脊椎治疗。脊椎指压治疗患者在所有SF-36量表上的健康状况均显著差于年龄和性别匹配的一般人群样本。与药物性背痛患者相比，捏脊治疗性背痛患者的心理健康状况明显较差（下降6-8分）。脊椎指压治疗背痛患者的Roland-Morris评分与医疗背痛患者的数值相似。脊医及其病人的健康态度和信念是相似的。患者对护理工作非常满意。这些数据支持这样一种理论，即患者几乎只因为肌肉骨骼症状而寻求脊椎治疗，脊椎治疗师和他们的患者有着相似的信仰体系。
Summ. of Background Data and Objectives. Alternative health care was used by an estimated 42% of the U.S. population in 1997, and chiropractors accounted for 31% of the total estimated number of visits. Despite this high level of use, there is little empirical information about who uses chiropractic care or why.Methods. The authors surveyed randomly sampled chiropractors (n = 131) at six study sites and systematically sampled chiropractic patients seeking care from participating chiropractors on 1 day (n = 1275). Surveys collected data about the patient's reason for seeking chiropractic care, health status, health attitude and beliefs, and satisfaction. In addition to descriptive statistics, the authors compared data between patients and chiropractors, and between patients and previously published data on health status from other populations, corrected for the clustering of patients within chiropractors.Results. More than 70% of patients specified back and neck problems as their health problem for which they sought chiropractic care. Chiropractic patients had significantly worse health status on all SF-36 scales than an age- and gender-matched general population sample. Compared with medical back pain patients, chiropractic back pain patients had significantly worse mental health (6-8 point decrement). Roland-Morris scores for chiropractic back pain patients were similar to values reported for medical back pain patients. The health attitudes and beliefs of chiropractors and their patients were similar. Patients were very satisfied with their care.Conclusion. These data support the theory that patients seek chiropractic care almost exclusively for musculoskeletal symptoms and that chiropractors and their patients share a similar belief system.