Medical care in unlicensed combat sports: A need for standardised regulatory frameworks
Autor: | Alex Channon, Christopher R. Matthews, Mathew Hillier |
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Rok vydání: | 2019 |
Předmět: |
Competitive Behavior
media_common.quotation_subject Poison control Physical Therapy Sports Therapy and Rehabilitation Sports Medicine Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Professional Competence Humans Orthopedics and Sports Medicine Professional Autonomy 030212 general & internal medicine media_common Martial arts biology business.industry Athletes Human factors and ergonomics 030229 sport sciences Public relations Boxing biology.organism_classification England Business Amateur Delivery of Health Care Licensure Autonomy Martial Arts |
Zdroj: | Journal of science and medicine in sport. 23(3) |
ISSN: | 1878-1861 1440-2440 |
Popis: | Objective: To explore the provision of medical care at ‘unlicensed’, full-contact amateur and lower-level professional combat sports competitions in England.\ud \ud Design: Qualitative, mixed methods.\ud \ud Methods: Observations totalling 200 hours of fieldwork shadowing medical professionals at 27 individual combat sports events, alongside formal, semi-structured interviews with 25 medical professionals, 7 referees and 9 promoters/event staff.\ud \ud Results: Practices and standards vary widely. Event organisers and promoters often have very little understanding of how different types of medical practitioners operate. They rarely, if ever, check that the staff they are hiring are qualified, sometimes resulting in unqualified staff being used to provide medical cover at events. Venues are often poorly equipped to accommodate basic medical procedures. Patient confidentiality is very often compromised. Medical professionals often have limited autonomy within the combat sports milieu and may find themselves marginalised, with their judgements overruled by non-medical staff during competitive events. Some practitioners are cognisant of the dangers such working environments pose to their professional reputations and livelihoods, but remain working within combat sports regardless.\ud \ud Conclusions: Despite pockets of good practice, the lack of standardised rules for medical care provision creates substantial risks to athletes, to practitioners and the standing of the profession. The development and implementation of standardised, enforceable regulatory frameworks for full-contact combat sports in England is urgently needed. |
Databáze: | OpenAIRE |
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