国家政策的变化 关于高中体育赛事的副线医疗覆盖 高中体育赛事的副线医疗覆盖
Marcus Allen1, Aravind Athiviraham1, Darlington Nwaudo1
1University of Chicago, Department of Orthopaedics and Rehabilitation, Chicago, Illinois, USA.
Orthopaedic journal of sports medicine
|December 1, 2025
概括
大多数州都没有对运动教练 (AT) 的要求,也没有在高中活动中提供辅助医疗保险. 这种缺席可能会影响学生运动员的安全和护理,特别是在高风险运动中.
科学领域:
- 运动医学 运动医学
- 公共卫生政策 公共卫生政策
- 运动训练 运动训练
背景情况:
- 经过认证的运动教练 (AT) 在高中活动中对学生运动员健康至关重要.
- 有限的研究存在于国家对AT的要求和强制性的副线医疗保险.
- 这项研究解决了了解体育运动医疗保险的州级政策的差距.
研究的目的:
- 评估国家对AT的要求和高中体育赛事的强制性副线医疗覆盖.
- 确定各州关于附带医疗保险政策的变化.
- 评估国家任务是否依赖风险或独立于风险.
主要方法:
- 一项横截面研究,使用发送给州高中体育协会的17个问题调查.
- 调查评估了边际医疗保险和AT就业 (2023-2024) 的法规.
- 用描述性统计数据,赔率比率和费舍尔精确测试进行分析.
主要成果:
- 51个州协会中有48个回答;23%的副线覆盖任务 (3%的风险独立,17%的风险依赖).
- 没有哪个州要求在高中体育赛事上有AT的存在.
- 拥有更多高中的州不太可能强制规定副线覆盖 (OR,0.05;P = .003).
- 92%的美国高中设在没有正式附带医疗保险要求的州.
结论:
- 广泛缺乏州政策侧线医疗覆盖和AT存在.
- 这种缺乏政策可能会在学生运动员的护理和安全方面造成差异.
- 需要全州的政策来加强在体育赛事上获得AT的机会,特别是在高风险运动中.
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