The Association of Physiotherapy Continuity of Care with Duration of Time Loss Among Compensated Australian Workers with Low Back Pain.

IF 2.1 3区医学 Q1 REHABILITATION Journal of Occupational Rehabilitation Pub Date : 2024-05-25 DOI:10.1007/s10926-024-10209-8

Shannon E Gray, Benedict Tudtud, Luke R Sheehan, Michael Di Donato

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Abstract

Purpose: The aims of this study are to determine how continuous the care provided by physiotherapists to compensated workers with low back pain is, what factors are associated with physiotherapy continuity of care (CoC; treatment by the same provider), and what the association between physiotherapy CoC and duration of working time loss is.

Methods: Workers' compensation claims and payments data from Victoria and South Australia were analysed. Continuity of care was measured with the usual provider continuity metric. Binary logistic regression examined factors associated with CoC. Cox regression models examined the association between working time loss and CoC.

Results: Thirty-six percent of workers experienced complete CoC, 25.8% high CoC, 26.1% moderate CoC, and 11.7% low CoC. Odds of complete CoC decreased with increased service volume. With decreasing CoC, there was significantly longer duration of compensated time loss.

Conclusion: Higher CoC with a physiotherapist is associated with shorter compensated working time loss duration for Australian workers with low back pain.

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物理治疗的连续性与澳大利亚腰背痛带薪工人时间损失的关系。

目的：本研究旨在确定物理治疗师为患有腰背痛的获赔工人提供护理的连续性如何，物理治疗连续性（CoC；由同一服务提供者提供的治疗）与哪些因素相关，以及物理治疗连续性与工作时间损失持续时间之间的关系：方法：分析了维多利亚州和南澳大利亚州的工伤索赔和支付数据。护理的连续性是通过通常的医疗服务提供者的连续性指标来衡量的。二元逻辑回归分析了与连续性相关的因素。Cox 回归模型检验了工作时间损失与连续性护理之间的关联：结果：36%的工人有完全的连续性，25.8%的工人有高度的连续性，26.1%的工人有中度的连续性，11.7%的工人有低度的连续性。随着服务量的增加，完全 CoC 的几率下降。随着CoC的减少，补偿时间损失的持续时间也明显延长：结论：对于患有腰背痛的澳大利亚工人来说，物理治疗师提供的更高的CoC与更短的补偿性工时损失持续时间有关。

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来源期刊

Journal of Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

期刊介绍： The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.