为什么没有更多的医生使用骨科医生操纵医学? 对利用和转介障碍的横截面研究
Stephen K Stacey1, Anthony Furlano2, Joanne Genewick3
1Department of Family Medicine, 4351 Mayo Clinic Health System, La Crosse-Mayo Family Medicine Residency Program , La Crosse, WI, USA.
Journal of osteopathic medicine
|September 18, 2025
概括
骨科医生 (DOs) 由于时间限制,有限的住院培训和相互竞争的利益,不充分利用骨科操纵医学 (OMM). 解决这些障碍可能会增加OMM采用.
科学领域:
- 骨科治疗医学 骨科治疗医学
- 医疗保健的不平等 医疗保健的不平等
- 手动治疗治疗手动治疗
背景情况:
- 骨科操纵医学 (OMM) 是一种有效的手动治疗,得到证据的支持.
- OMM仍然被骨科医学医生 (DO) 未充分利用.
研究的目的:
- 在DO和非DO临床医生中识别对OMM更广泛采用的感知障碍.
- 扩大对OMM作为一种非侵入性治疗选择的访问.
主要方法:
- 从先前的研究中调整了调查项目,并进行了代改进和试点测试.
- 参与者通过电子邮件从Mayo Clinic Midwest内部招募.
- 描述性调查由梅奥诊所调查研究中心的支持开发.
主要成果:
- 调查发送给952个人 (184个DO,768个非DO);响应率:DO的41.3%,非DO的11.8%.
- 只有27.6%的受访者DO报告了临床OMM使用.
- 通常报告的障碍:时间限制,公众认知不佳,缺乏住院培训和竞争的专业兴趣.
结论:
- 很少有DO在大型医疗系统中实践OMM,理由是时间,培训和竞争利益.
- 在居住计划中针对性OMT教育可以解决培训障碍.
- 增强的补偿和改进的转诊途径可能会增加OMM的使用率.
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