Cost-Benefit of Hiring Athletic Trainers in Oregon High Schools From 2011-2014.

Abstract:

CONTEXT:Hiring athletic trainers (ATs) in high schools may lower medical payments by third-party payers such as Medicaid or commercial insurers by reducing injury risks or may increase medical payments due to more referrals to other health care providers. To date, evidence is lacking on the actual financial effect of high school ATs based on an analysis of medical claims. OBJECTIVE:To assess the overall cost-benefit of hiring ATs in Oregon high schools based on medical claims data across years. DESIGN:Cost-benefit study. SETTING:Oregon public high schools. PATIENTS OR OTHER PARTICIPANTS:Patients aged 14 to 18 years old. MAIN OUTCOME MEASURE(S):We analyzed the 2011-2014 limited dataset from the Oregon Health Authority's All Payer All Claims database. Paired t tests were used to compare claims payments at the zip code level between periods of having and not having ATs in Oregon high schools. We also used the percentage of AT effort to adjust for AT investment. The main outcome measure was the return on investment associated with hiring ATs in high schools. RESULTS:The presence of ATs in Oregon high schools may have had different effects on medical payments for Medicaid and commercial insurance. With every dollar invested in hiring ATs in Oregon public high schools from 2011 to 2014, Medicaid payments increased by 24 cents per month at the zip code level, while commercial insurance payments decreased by 24 cents, although the changes were not statistically significant. CONCLUSIONS:Hiring ATs in an outreach model for high schools may not necessarily generate medical savings for Medicaid or commercial insurers. Further research is needed to determine if the lack of cost savings in our study was a factor of the employment model, resulted from increased health care utilization, or reflected the need for ATs to deliver more on-site AT services.

journal_name

J Athl Train

authors

Li T,Norcross MF,Johnson ST,Koester MC

doi

10.4085/1062-6050-390-17

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

165-169

issue

2

eissn

1062-6050

issn

1938-162X

journal_volume

54

pub_type

杂志文章
  • Using surface electromyography to assess sex differences in neuromuscular response characteristics.

    abstract:OBJECTIVE:To provide an overview of the continuum of muscular responses that typically occur with joint perturbation. The applications and limitations of surface electromyography (sEMG) in evaluating these responses are also addressed. Research applications assessing sex differences in these neuromuscular response char...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Shultz SJ,Perrin DH

    更新日期:1999-04-01 00:00:00

  • Evaluating a Commonly Used Tool for Measuring Sport Specialization in Young Athletes.

    abstract:CONTEXT:Sport specialization has been defined as year-round intensive training in a single sport to the exclusion of other sports. A commonly used survey tool created by Jayanthi et al, which classifies athletes as having a low, moderate, or high level of specialization, categorizes only athletes answering yes to "Have...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-379-18

    authors: Miller M,Malekian S,Burgess J,LaBella C

    更新日期:2019-10-01 00:00:00

  • Low back pain in adolescents: a comparison of clinical outcomes in sports participants and nonparticipants.

    abstract:CONTEXT:Back pain is common in adolescents. Participation in sports has been identified as a risk factor for the development of back pain in adolescents, but the influence of sports participation on treatment outcomes in adolescents has not been adequately examined. OBJECTIVE:To examine the clinical outcomes of rehabi...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-45.1.61

    authors: Fritz JM,Clifford SN

    更新日期:2010-01-01 00:00:00

  • Athletic Trainers' Attitudes and Perceptions of Environmental Sustainability.

    abstract:CONTEXT:  Environmental sustainability efforts are becoming a critical concern in health care. However, little is known regarding how athletic trainers feel about the environment or what can be done to reduce the environmental impact of the practice of athletic training. OBJECTIVE:  To examine athletic trainers' attit...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-52.12.19

    authors: Potteiger K,Pitney WA,Cappaert TA,Wolfe A

    更新日期:2017-12-01 00:00:00

  • Physical Activity Levels in College Students With Chronic Ankle Instability.

    abstract:CONTEXT:Ankle sprains are the most common orthopaedic pathologic condition, and more concerning is the high percentage of persons who develop chronic ankle instability (CAI). Researchers have reported that patients with CAI are restricted occupationally, have more functional limitations, and have a poorer health-relate...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-50.3.05

    authors: Hubbard-Turner T,Turner MJ

    更新日期:2015-07-01 00:00:00

  • Professional role complexity and job satisfaction of collegiate certified athletic trainers.

    abstract:CONTEXT:Whenever professionals have multiple role obligations in the workplace, they face potential professional role complexities. OBJECTIVE:To examine whether certified athletic trainers (ATs) employed at the collegiate level experienced professional role complexities, and if so, what effect those complexities had u...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-43.4.373

    authors: Brumels K,Beach A

    更新日期:2008-07-01 00:00:00

  • Peroneal Reaction Times and Eversion Motor Response in Healthy and Unstable Ankles.

    abstract::OBJECTIVE: To measure and compare latency, electromechanical delay, and speed of motor response of the peroneus longus muscle in a large sample of subjects with healthy or unstable ankles. DESIGN AND SETTING: Subjects with healthy or unstable ankles underwent identical test procedures consisting of 6 consecutive, sudd...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Vaes P,Duquet W,Van Gheluwe B

    更新日期:2002-12-01 00:00:00

  • A high-intensity, intermittent exercise protocol and dynamic postural control in men and women.

    abstract:CONTEXT:Deficits in dynamic postural control predict lower limb injury. Differing fatiguing protocols negatively affect dynamic postural control. The effect of high-intensity, intermittent exercise on dynamic postural control has not been investigated. OBJECTIVE:To investigate the effect of a high-intensity, intermitt...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-49.6.08

    authors: Whyte E,Burke A,White E,Moran K

    更新日期:2015-04-01 00:00:00

  • Chronic Ankle Instability and Neural Excitability of the Lower Extremity.

    abstract:CONTEXT:Neuromuscular dysfunction of the leg and thigh musculature, including decreased strength and postural control, is common in patients with chronic ankle instability (CAI). Understanding how CAI affects specific neural pathways may provide valuable information for targeted therapies. OBJECTIVE:To investigate dif...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-50.4.06

    authors: McLeod MM,Gribble PA,Pietrosimone BG

    更新日期:2015-08-01 00:00:00

  • National Athletic Trainers' Association Position Statement: Evaluation, Management, and Outcomes of and Return-to- Play Criteria for Overhead Athletes With Superior Labral Anterior-Posterior Injuries.

    abstract:OBJECTIVE:  To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND:  In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed bas...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-59-16

    authors: Michener LA,Abrams JS,Bliven KCH,Falsone S,Laudner KG,McFarland EG,Tibone JE,Thigpen CA,Uhl TL

    更新日期:2018-03-01 00:00:00

  • Experiences with workplace bullying among athletic trainers in the collegiate setting.

    abstract:CONTEXT:Workplace bullying (WPB) is a series of persistent negative interactions that affect a clinician's ability to perform his or her role. Although WPB has been studied in other health professions, to date, no information exists pertaining to WPB in athletic training. OBJECTIVE:To determine the prevalence of WPB i...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-49.3.16

    authors: Weuve C,Pitney WA,Martin M,Mazerolle SM

    更新日期:2014-09-01 00:00:00

  • The Prediction of Intracranial Injury After Minor Head Trauma in the Pediatric Population.

    abstract::Reference: Dunning J, Batchelor J, Stratford-Smith P, et al. A meta-analysis of variables that predict significant intracranial injury in minor head trauma. Arch Dis Child. 2004;89:653-659.Clinical Question: Which clinical signs or symptoms of minor head trauma are predictive of intracranial hemorrhage in children and...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Valovich McLeod TC

    更新日期:2005-06-01 00:00:00

  • Temperature changes in the human leg during and after two methods of cryotherapy.

    abstract:OBJECTIVE:To compare the cooling and rewarming effects of two clinical 20-minute cryotherapy treatments on the temperature of the human leg. DESIGN AND SETTING:Sixteen subjects were randomly treated with either 20 minutes of a 1.8-kg crushed-ice pack, placed directly over the left calf, or a 20-minute immersion in a c...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Myrer JW,Measom G,Fellingham GW

    更新日期:1998-01-01 00:00:00

  • An electromyographic investigation of 4 elastic-tubing closed kinetic chain exercises after anterior cruciate ligament reconstruction.

    abstract:OBJECTIVE:To determine the electromyographic (EMG) activity of the vastus medialis oblique (VMO), vastus lateralis (VL), semitendinosus and semimembranosus (ST), and biceps femoris (BF) muscles during 4 elastic-tubing closed kinetic chain exercises in postoperative patients with anterior cruciate ligament (ACL)-reconst...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Schulthies SS,Ricard MD,Alexander KJ,Myrer JW

    更新日期:1998-10-01 00:00:00

  • Surface electromyographic amplitude-to-work ratios during isokinetic and isotonic muscle actions.

    abstract:CONTEXT:Isokinetic and isotonic resistance training exercises are commonly used to increase strength during musculoskeletal rehabilitation programs. Our study was designed to examine the efficacy of isokinetic and isotonic muscle actions using surface electromyographic (EMG) amplitude-to-work ratios (EMG/WK) and to ext...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Purkayastha S,Cramer JT,Trowbridge CA,Fincher AL,Marek SM

    更新日期:2006-07-01 00:00:00

  • Roundtable on Preseason Heat Safety in Secondary School Athletics: Prehospital Care of Patients With Exertional Heat Stroke.

    abstract:OBJECTIVE:First, we will update recommendations for the prehospital management and care of patients with exertional heat stroke (EHS) in the secondary school setting. Second, we provide action items to aid clinicians in developing best-practice documents and policies for EHS. Third, we provide practical strategies clin...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-0173.20

    authors: Miller KC,Casa DJ,Adams WM,Hosokawa Y,Cates J,Emrich C,Fitzpatrick T,Hopper M,Jardine JF,LaBotz M,Lopez RM,O'Connor F,Smith MS

    更新日期:2020-12-08 00:00:00

  • Low-Level Laser Therapy Facilitates Superficial Wound Healing in Humans: A Triple-Blind, Sham-Controlled Study.

    abstract::OBJECTIVE: Low-level laser therapy (LLLT) has been promoted for its beneficial effects on tissue healing and pain relief. However, according to the results of in vivo studies, the effectiveness of this modality varies. Our purpose was to assess the putative effects of LLLT on healing using an experimental wound model....

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Hopkins JT,McLoda TA,Seegmiller JG,David Baxter G

    更新日期:2004-09-01 00:00:00

  • Weight-bearing ankle dorsiflexion range of motion-can side-to-side symmetry be assumed?

    abstract:CONTEXT:In clinical practice, the range of motion (ROM) of the non involved side often serves as the reference for comparison with the injured side. Previous investigations of non-weight-bearing (NWB) ankle dorsiflexion (DF) ROM measurements have indicated bilateral symmetry for the most part. Less is known about ankle...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-49.3.40

    authors: Rabin A,Kozol Z,Spitzer E,Finestone AS

    更新日期:2015-01-01 00:00:00

  • Taping and semirigid bracing may not affect ankle functional range of motion.

    abstract::The comparative effects of adhesive tape and three semirigid ankle orthoses on ankle functional range of motion were studied on 11 college football athletes. Maximum plantar flexion and maximum dorsiflexion were measured under five conditions to determine functional range of motion. Testing conditions included: contro...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Lindley TR,Kernozek TW

    更新日期:1995-06-01 00:00:00

  • Days to Return to Participation After a Hamstrings Strain Among American Collegiate Soccer Players.

    abstract:CONTEXT:Among US collegiate soccer players, the incidence rate and the event characteristics of hamstrings strains differ between sexes, but comparisons in the return-to-participation (RTP) time have not been reported. OBJECTIVE:To compare the RTP time between male and female collegiate soccer players and analyze the ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1052-6050-50.2.12

    authors: Cross KM,Saliba SA,Conaway M,Gurka KK,Hertel J

    更新日期:2015-07-01 00:00:00

  • Distal biceps tendon repair: an analysis of timing of surgery on outcomes.

    abstract:CONTEXT:Surgical repair of the ruptured distal biceps brachaii tendon is an effective treatment in injured patients. Timing of surgery is considered an important factor when managing these patients. OBJECTIVE:To compare our outcomes after distal biceps tendon acute (at 4 weeks or less) or chronic (greater than 4 weeks...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-48.1.10

    authors: Anakwenze OA,Baldwin K,Abboud JA

    更新日期:2013-01-01 00:00:00

  • The national sports safety in secondary schools benchmark (N4SB) study: defining athletic training practice characteristics.

    abstract:CONTEXT:Increased rates of sport participation and sport-related injury have led to greater emphasis on and attention to medical care of student-athletes in the secondary school setting. Access to athletic training services is seen as a critical factor for delivering adequate injury prevention and medical care to stude...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-48.4.04

    authors: McLeod TC,Bliven KC,Lam KC,Bay RC,Valier AR,Parsons JT

    更新日期:2013-07-01 00:00:00

  • Descriptive epidemiology of collegiate men's football injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004.

    abstract:OBJECTIVE:To review 16 years of National Collegiate Athletic Association (NCAA) injury surveillance data for men's football and identify potential areas for injury prevention initiatives. BACKGROUND:Football is a high-velocity collision sport in which injuries are expected. Football tends to have one of the highest in...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Dick R,Ferrara MS,Agel J,Courson R,Marshall SW,Hanley MJ,Reifsteck F

    更新日期:2007-04-01 00:00:00

  • Electrocardiogram testing during athletic preparticipation physical examinations.

    abstract:CONTEXT:Sudden cardiac death (SCD) is a relatively rare yet unfortunate risk of athletic participation. To reduce the incidence of SCD, electrocardiogram (ECG) use during athletic preparticipation examinations (PPEs) has been proposed to detect underlying cardiac abnormalities. OBJECTIVE:To estimate the effectiveness ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-45.3.265

    authors: O'Connor DP,Knoblauch MA

    更新日期:2010-05-01 00:00:00

  • Muscle stiffness and spinal stretch reflex sensitivity in the triceps surae.

    abstract:CONTEXT:Greater musculotendinous stiffness may enhance spinal stretch reflex sensitivity by improving mechanical coupling of the muscle spindle and the stretch stimulus. This heightened sensitivity would correspond with a shorter latency and higher-amplitude reflex response, potentially enhancing joint stability. OBJE...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-43.1.29

    authors: Blackburn JT,Padua DA,Guskiewicz KM

    更新日期:2008-01-01 00:00:00

  • The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Field Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Women's Field Hockey (2004-2005 Through 2013-20

    abstract:CONTEXT: :The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of data for girls' and women's field hockey injuries. OBJECTIVE: :To describe the ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-173-17

    authors: Lynall RC,Gardner EC,Paolucci J,Currie DW,Knowles SB,Pierpoint LA,Wasserman EB,Dompier TP,Comstock RD,Marshall SW,Kerr ZY

    更新日期:2018-10-01 00:00:00

  • Paradoxical Vocal-Cord Dysfunction: Management in Athletes.

    abstract::OBJECTIVE: To describe a treatment strategy for paradoxical vocal-cord dysfunction (PVCD) as it applies to an athletic population. BACKGROUND: Paradoxical vocal-cord dysfunction has been identified as a cause of dyspnea and stridor in athletes. The basic element of PVCD is an inappropriate closure of the vocal cords d...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Newsham KR,Klaben BK,Miller VJ,Saunders JE

    更新日期:2002-09-01 00:00:00

  • What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults?

    abstract:CONTEXT:Ankle sprains are common problems in acute medical care. The variation in treatment observed for the acutely injured lateral ankle ligament complex in the first week after the injury suggests a lack of evidence-based management strategies for this problem. OBJECTIVE:To analyze the effectiveness of applying res...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,meta分析,评审

    doi:10.4085/1062-6050-47.4.14

    authors: van den Bekerom MP,Struijs PA,Blankevoort L,Welling L,van Dijk CN,Kerkhoffs GM

    更新日期:2012-07-01 00:00:00

  • Blisters on the anterior shin in 3 research subjects after a 1-MHz, 1.5-W/cm , continuous ultrasound treatment: a case series.

    abstract:CONTEXT:Clinicians should consider multiple factors when estimating tissue-heating rates. OBJECTIVE:To report 3 separate occurrences of blisters during an ultrasound treatment experiment. BACKGROUND:While we were conducting a research experiment comparing the measurement capabilities of 2 different intramuscular temp...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Frye JL,Johns LD,Tom JA,Ingersoll CD

    更新日期:2007-07-01 00:00:00

  • Influences of Clinician Technique on Performance and Interpretation of the Lachman Test.

    abstract::OBJECTIVE: To examine the influences of clinician technique on performance and interpretation of the Lachman test. DESIGN AND SETTING: Blinded, controlled, and randomized-block design clinical study conducted in an athletic training laboratory classroom. SUBJECTS: Twenty-two certified athletic trainer clinicians and 1...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Hurley WL,Thompson McGuire D

    更新日期:2003-03-01 00:00:00