Literature DB >> 22654231

Models of integrating physical therapists into family health teams in ontario, Canada: challenges and opportunities.

Cheryl A Cott1, Shilpa Mandoda, Michel D Landry.   

Abstract

PURPOSE: To explore the potential for different models of incorporating physical therapy (PT) services within the emerging network of family health teams (FHTs) in Ontario and to identify challenges and opportunities of each model.
METHODS: A two-phase mixed-methods qualitative descriptive approach was used. First, FHTs were mapped in relation to existing community-based PT practices. Second, semi-structured key-informant interviews were conducted with representatives from urban and rural FHTs and from a variety of community-based PT practices. Interviews were digitally recorded, transcribed verbatim, and analyzed using a categorizing/editing approach.
RESULTS: Most participants agreed that the ideal model involves embedding physical therapists directly into FHTs; in some situations, however, partnering with an existing external PT provider may be more feasible and sustainable. Access and funding remain the key issues, regardless of the model adopted.
CONCLUSION: Although there are differences across the urban/rural divide, there exist opportunities to enhance and optimize existing delivery models so as to improve client access and address emerging demand for community-based PT services.

Entities:  

Keywords:  chronic disease; physical therapy; primary care

Mesh:

Year:  2011        PMID: 22654231      PMCID: PMC3157985          DOI: 10.3138/ptc.2010-01

Source DB:  PubMed          Journal:  Physiother Can        ISSN: 0300-0508            Impact factor:   1.037


  31 in total

1.  Integrated institution--community rehabilitation in developed countries: a proposal.

Authors:  R Eldar
Journal:  Disabil Rehabil       Date:  2000-04-15       Impact factor: 3.033

2.  Strategic responses to fiscal constraints: a health policy analysis of hospital-based ambulatory physical therapy services in the Greater Toronto Area (GTA).

Authors:  Michel D Landry; Molly C Verrier; A Paul Williams; David Zakus; Raisa B Deber
Journal:  Physiother Can       Date:  2009-11-12       Impact factor: 1.037

3.  Assessing the consequences of delisting publicly funded community-based physical therapy on self-reported health in Ontario, Canada: a prospective cohort study.

Authors:  Michel D Landry; Raisa B Deber; Susan Jaglal; Audrey Laporte; Paul Holyoke; Rachel Devitt; Cheryl Cott
Journal:  Int J Rehabil Res       Date:  2006-12       Impact factor: 1.479

4.  A landmark randomized health care trial: the Burlington Trial of the nurse practitioner.

Authors:  David L Sackett
Journal:  J Clin Epidemiol       Date:  2009-04-08       Impact factor: 6.437

5.  Delisting publicly funded community-based physical therapy services in Ontario, Canada: a 12-month follow-up study of the perceptions of clients and providers.

Authors:  Jennifer Paul; Lindsay Park; Erin Ryter; Wendy Miller; Shafayat Ahmed; Cheryl A Cott; Michel D Landry
Journal:  Physiother Theory Pract       Date:  2008 Sep-Oct       Impact factor: 2.279

6.  Is primary care essential?

Authors:  B Starfield
Journal:  Lancet       Date:  1994-10-22       Impact factor: 79.321

7.  Motivation as a predictor of changes in quality of life and working ability in multidisciplinary rehabilitation. A two-year follow-up of a prospective controlled study in patients with prolonged musculoskeletal disorders.

Authors:  B Grahn; C Ekdahl; L Borgquist
Journal:  Disabil Rehabil       Date:  2000-10-15       Impact factor: 3.033

8.  Evaluation of the efficacy and acceptability to patients of a physiotherapist working in a health centre.

Authors:  G I Hackett; M F Hudson; J B Wylie; A D Jackson; K M Small; P Harrison; J O'Brien; P Harrison
Journal:  Br Med J (Clin Res Ed)       Date:  1987-01-03

9.  Management of joint and soft tissue injuries in three general practices: value of on-site physiotherapy.

Authors:  G I Hackett; P Bundred; J L Hutton; J O'Brien; I M Stanley
Journal:  Br J Gen Pract       Date:  1993-02       Impact factor: 5.386

10.  Geographic information system (GIS) maps and malaria control monitoring: intervention coverage and health outcome in distal villages of Khammouane province, Laos.

Authors:  Yoshihisa Shirayama; Samlane Phompida; Kenji Shibuya
Journal:  Malar J       Date:  2009-09-22       Impact factor: 2.979

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  13 in total

1.  Clinician's Commentary on Cott et al.(1).

Authors:  Alice Aiken
Journal:  Physiother Can       Date:  2011-08-10       Impact factor: 1.037

2.  Integrating Physiotherapists into Publicly Funded Primary Care: A Call to Action.

Authors:  Simon Deslauriers; Marie-Eve Toutant; Miriam Lacasse; François Desmeules; Kadija Perreault
Journal:  Physiother Can       Date:  2017       Impact factor: 1.037

3.  Understanding physiotherapists' roles in ontario primary health care teams.

Authors:  Sinéad Patricia Dufour; S Deborah Lucy; Judith Belle Brown
Journal:  Physiother Can       Date:  2014       Impact factor: 1.037

4.  Clinician's Commentary on Mohammed et al.(1.).

Authors:  Cheryl A Cott
Journal:  Physiother Can       Date:  2013       Impact factor: 1.037

5.  The Value of Physiotherapists in Primary Health Care Clinics: Optimizing (Self-) Management Supports for Persons with Complex Health and Social Needs.

Authors:  Sara J T Guilcher
Journal:  Physiother Can       Date:  2018       Impact factor: 1.037

6.  Integrating Physiotherapists into Primary Health Care Organizations: The Physiotherapists' Perspective.

Authors:  Sai Maharaj; Christine Chung; Inderdeep Dhugge; Maria Gayevski; Asya Muradyan; Katherine E McLeod; Amanda Smart; Cheryl A Cott
Journal:  Physiother Can       Date:  2018       Impact factor: 1.037

7.  Standing on the Precipice: Evaluating Final-Year Physiotherapy Students' Perspectives of Their Curriculum as Preparation for Primary Health Care Practice.

Authors:  Sinead McMahon; Grainne O'Donoghue; Catherine Doody; Geraldine O'Neill; Terry Barrett; Tara Cusack
Journal:  Physiother Can       Date:  2016       Impact factor: 1.037

8.  Physiotherapy Practice in Primary Health Care: A Survey of Physiotherapists in Team-Based Primary Care Organizations in Ontario.

Authors:  Kyle Vader; Rachelle Ashcroft; Brenna Bath; Simon Décary; Simon Deslauriers; François Desmeules; Catherine Donnelly; Kadija Perreault; Julie Richardson; Sarah Wojkowski; Jordan Miller
Journal:  Physiother Can       Date:  2021-02-23       Impact factor: 1.037

9.  Physiotherapists' Experiences with and Perspectives on Implementing an Evidence-Based, Chronic Pain Self-Management Programme in Primary Health Care: A Qualitative Study.

Authors:  Emily Brewer; Nicole Carnevale; Melissa Ducsharm; Nicole Ellis; Mohammed Khan; Kyle Vader; Jordan Miller
Journal:  Physiother Can       Date:  2021       Impact factor: 1.037

10.  Acceptability of a task sharing and shifting model between family physicians and physiotherapists in French multidisciplinary primary healthcare centres: a cross-sectional survey.

Authors:  Amélie Kechichian; François Desmeules; Pauline Girard; Nicolas Pinsault
Journal:  Fam Med Community Health       Date:  2022-06
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