Workers with low back pain (LBP) frequently seek care from physiotherapists. We sought to identify patterns of physiotherapy attendance and factors associated with these patterns in Australian workers with accepted compensation claims for LBP. We included workers with accepted workers' compensation claims for LBP from 4 Australian states between 2011 and 2015. We used trajectory modelling to identify distinct groups of workers based on the number (ie, volume) of monthly physiotherapy attendances over a 2-year period from claim acceptance. Descriptive statistics and logistic regression models were used to compare the characteristics of the groups. A small but significant proportion attend numerous times over a long period. 79.0% of the sample (N = 22,767) attended physiotherapy at least once in the 2 years after claim acceptance. Among these, trajectory modelling identified 4 distinct patterns of attendance. Most (N = 11,808, 51.9%) recorded a short-term low-volume pattern, 26.8% (n = 6089) recorded a short-term high-volume pattern, 14.3% (n = 3255) recorded a long-term low-volume pattern, and 7.1% (n = 1615) recorded a long-term high-volume pattern. Workers from Victoria (OR 0.34, 99% CI 0.31, 0.37), South Australia (OR 0.69, 99% CI 0.60, 0.80), and Western Australia (OR 0.79, 99% CI 0.69, 0.88) were significantly less likely to attend physiotherapy than workers from Queensland. Victorian workers were significantly more likely to be in one of the 2 long-term trajectory groups (OR 8.17, 99% CI 6.86, 9.73; OR 18.68, 99% CI 13.57, 25.70). In conclusion, most compensated Australian workers with LBP attend physiotherapy. Significant interjurisdictional differences between attendance patterns suggests that policy may play an important role in healthcare delivery.

中文翻译：

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澳大利亚腰痛补偿工人的物理治疗出席模式：一项回顾性队列研究。

患有腰痛 (LBP) 的工人经常寻求物理治疗师的护理。我们试图确定接受 LBP 赔偿要求的澳大利亚工人的物理治疗出勤模式以及与这些模式相关的因素。我们纳入了 2011 年至 2015 年间来自澳大利亚 4 个州的已接受 LBP 工人赔偿索赔的工人。我们使用轨迹模型，根据 2 年内每月物理治疗就诊人数（即数量）来识别不同的工人群体。索赔接受。使用描述性统计和逻辑回归模型来比较各组的特征。一小部分人在很长一段时间内多次参加会议，但比例很大。 79.0% 的样本 (N = 22,767) 在索赔接受后的 2 年内至少接受过一次物理治疗。其中，轨迹模型确定了 4 种不同的出勤模式。大多数 (N = 11,808, 51.9%) 记录了短期低成交量模式，26.8% (n = 6089) 记录了短期高成交量模式，14.3% (n = 3255) 记录了长期低成交量模式交易量模式，7.1% (n = 1615) 记录了长期的高交易量模式。来自维多利亚州（OR 0.34，99% CI 0.31，0.37）、南澳大利亚州（OR 0.69，99% CI 0.60，0.80）和西澳大利亚州（OR 0.79，99% CI 0.69，0.88）的工人参加物理治疗的可能性明显较低高于昆士兰州的工人。维多利亚时代的工人更有可能属于 2 个长期轨迹组之一（OR 8.17，99% CI 6.86，9.73；OR 18.68，99% CI 13.57，25.70）。总之，大多数患有腰痛的澳大利亚工人都会接受物理治疗。出勤模式之间的显着跨辖区差异表明政策可能在医疗保健提供中发挥重要作用。