Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: Results from the UCLA low-back pain study

被引:50
作者
Hertzman-Miller, RP
Morgenstern, H
Hurwitz, EL
Yu, F
Adams, AH
Harber, P
Kominski, GF
机构
[1] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA
[2] Univ Calif Los Angeles, Med Ctr, Dept Med, Robert Wood Johnson Vet Affairs Clin Scholars Pro, Los Angeles, CA 90024 USA
[3] So Calif Univ Hlth Sci, Whittier, CA USA
[4] Univ Calif Los Angeles, Med Ctr, Dept Family Med Occupat & Environm Med, Los Angeles, CA 90024 USA
[5] Univ Calif Los Angeles, Sch Publ Hlth, Dept Hlth Serv, Los Angeles, CA 90024 USA
关键词
D O I
10.2105/AJPH.92.10.1628
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. This study examined the difference in satisfaction between patients assigned to chiropractic vs medical care for-treatment of low back pain in a managed care organization. Methods. Satisfaction scores (on a 10-50 scale) after 4 weeks of follow-up were compared among 672 patients randomized to receive medical or chiropractic care. Results. The mean satisfaction score for chiropractic patients was greater than the score for medical patients (crude difference=5.5; 95% confidence interval=4.5, 6.5). Self-care advice and explanation of treatment predicted satisfaction and reduced the estimated difference between chiropractic and medical patients' satisfaction. Conclusions. Communication of advice and information to patients with low back pain increases their satisfaction with providers and accounts for much of the difference between chiropractic and medical patients' satisfaction.
引用
收藏
页码:1628 / 1633
页数:6
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