Báo cáo y học: "The Nordic Maintenance Care Program - Time intervals between treatments of patients with low back pain: how close and who decides"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The Nordic Maintenance Care Program - Time intervals between treatments of patients with low back pain: how close and who decides? | Sandnes et al. Chiropractic Osteopathy 2010 18 5 http content 18 1 5 CHIROPRACTIC OSTEOPATHY RESEARCH Open Access The Nordic Maintenance Care Program - Time intervals between treatments of patients with low back pain how close and who decides Kjerstin F Sandnes1 Charlotte Bjornstad1 Charlotte Leboeuf-Yde1 2 Lise Hestbaek1 2 Abstract Background The management of chiropractic patients with acute and chronic persistent conditions probably differs. However little is known on this subject. There is for example a dearth of information on maintenance care MC . Thus it is not known if patients on MC are coerced to partake in a program of frequent treatments over a long period of time or if they are actively involved in designing their own individualized treatment program. Objectives It was the purpose of this study to investigate how chiropractic patients with low back pain were scheduled for treatment with special emphasis on MC. The specific research questions were 1. How many patients are on maintenance care 2 Are there specific patterns of intervals between treatments for patients and if so do they differ between MC patients and non-MC patients 3. Who decides on the next treatment the patient the chiropractor or both and are there any differences between MC patients and non-MC patients Methods Chiropractic students who during their summer holidays were observers in chiropractic clinics in Norway and Denmark recorded whether patients were classified by the treating chiropractor as a MC-patient or not dates for last and subsequent visits and made a judgement on whether the patient or the chiropractor decided on the next appointment. Results Observers in the study were 16 out of 30 available students. They collected data on 868 patients from 15 Danish and 13 Norwegian chiropractors. Twenty-two percent and 26 respectively were classified as MC patients. Non-MC patients were most frequently seen within 1 week. For MC patients the previous visit was .

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