PHYSICIAN OFFICE VISITS FOR LOW-BACK-PAIN - FREQUENCY, CLINICAL-EVALUATION, AND TREATMENT PATTERNS FROM A US NATIONAL SURVEY
PHYSICIAN OFFICE VISITS FOR LOW-BACK-PAIN - FREQUENCY, CLINICAL-EVALUATION, AND TREATMENT PATTERNS FROM A US NATIONAL SURVEY
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DOI：
10.1097/00007632-199501000-00003
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发表时间：
1995-01-01
期刊：
影响因子：
3
通讯作者：
CHERKIN, DC
中科院分区：
文献类型：
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作者：
HART, LG;DEYO, RA;CHERKIN, DC
研究设计.本研究是对5个样本年的全国调查数据的分析。作者描述了下腰痛门诊就诊的频率、门诊护理的内容，以及这些随医生专业的变化。最近很少有关于下腰痛门诊治疗的数据，也没有关于病例组合和患者管理因医生专业而异的数据。全国门诊医疗调查的数据分为三个时间段（1980-81，1985，1989-90）。下腰痛的就诊频率、转诊状态、检查和治疗按医生专业制表。1990年，有近1500万人因“机械性”腰痛而就诊，这一问题在所有医生就诊的原因中排名第五。在所有三个时间段内，下背痛占门诊的2.8%。非特异性诊断标签是最常见的，56%的访问是初级保健医生。在病例量、诊断组合和管理方面观察到专业差异。背痛仍然是所有医生办公室就诊的主要原因。这项研究描述了访问，转诊，和管理模式提供最多的专业护理。
Study Design. This study is an analysis of national survey data from 5 sample years.Objectives. The authors characterized the frequency of office visits for low back pain, the content of ambulatory care, and how these vary by physician specialty.Summary of Background Data. Few recent data are available regarding ambulatory care for low back pain or how case mix and patient management vary by physician specialty.Methods. Data from the National Ambulatory Medical Care Survey were grouped into three time periods (1980-81, 1985, 1989-90). Frequency of visits for low back pain, referral status, tests, and treatments were tabulated by physician specialty.Results. There were almost 15 million office visits for ''mechanical'' low back pain in 1990, ranking this problem fifth as a reason for all physician visits. Low back pain accounted for 2.8 percent of office visits in all three time periods. Nonspecific diagnostic labels were most common, and 56 percent of visits were to primary care physicians. Specialty variations were observed in caseload, diagnostic mix, and management.Conclusions. Back pain remains a major reason for all physician office visits. This study describes visit, referral, and management patterns among specialties providing the most care.