Athletic Trainers' Knowledge Regarding Health Care Delivery Systems and Administration in the American Health Care System

Autor/inn/en	Eberman, Lindsey E.; Winkelmann, Zachary K.; Edler, Jessica R.; Neil, Elizabeth R.
Titel	Athletic Trainers' Knowledge Regarding Health Care Delivery Systems and Administration in the American Health Care System
Quelle	In: Athletic Training Education Journal, 15 (2020) 4, S.295-307 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1947-380X
Schlagwörter	Health Services; Athletics; Allied Health Personnel; Knowledge Level; Delivery Systems; Administration; Self Efficacy + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Leichtathletik; Wissensbasis; Auslieferung; Verwaltung; Self-efficacy; Selbstwirksamkeit
Abstract	Context: The American health care system is dynamic and ever evolving. As athletic training continues to advance, our understanding of and the ability to integrate best practices in policy construction and implementation, documentation, and basic business practices is critical to promoting optimal patient care. Objective: To identify and compare knowledge gaps of clinicians and educators regarding health care delivery systems and administration. Design and Setting: Cross-sectional, Web-based survey. Patients or Other Participants: Athletic trainers (N = 485), representative of the national demographic of the profession (age = 37 ± 12 years, experience = 14 ± 11 years). Intervention(s): We used a multi-part assessment including a perceived knowledge questionnaire, validated knowledge assessment (21 items: knowledge retrieval [11 items], knowledge utilization [10 items]), and self-efficacy scales. Main Outcome Measure(s): We calculated the knowledge assessment total score and compared educators (n = 41) and clinicians (n = 444). We calculated the knowledge gap with a Spearman [rho] correlation to determine the relationship between perceived knowledge mean and the knowledge retrieval subscore. We calculated the practice gap with a Spearman [rho] correlation to determine the relationship between self-efficacy mean and the knowledge utilization subscore. Results: Athletic trainers scored less than 50% on a knowledge assessment (mean = 10.27 ± 2.41 of 21) about health care delivery systems and administration. We identified that educators scored approximately 1 point higher (11.65 ± 0.4) than clinicians (10.14 ± 0.11), equivalent to 7% to 10% higher on the knowledge assessment. We identified, relative to health care delivery systems and administration, a knowledge gap (Spearman [rho] = 0.161, P < 0.001) between perceived knowledge and knowledge retrieval and a practice gap (Spearman [rho] = 0.095, P = 0.037) between self-efficacy and knowledge utilization. Conclusions: Athletic trainers demonstrated knowledge and practice gaps related to health care delivery systems and administration. To meet the expectations of the practice analysis and the needs of patients in today's American health care system, we must engage in professional development in this domain of practice. (As Provided).
Anmerkungen	National Athletic Trainers' Association. 2952 Stemmons Freeway Suite 200, Dallas, TX 75247. Tel: 214-637-6282; Fax: 214-637-2206; e-mail: ATEdJournal@gmail.com; Web site: http://nataej.org/journal-information.htm
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01