Kadija Perreault1, Clermont E Dionne2, Michel Rossignol3, Stéphane Poitras4, Diane Morin5. 1. Centre for Interdisciplinary Research in Rehabilitation and Social Integration; Université Laval. 2. Centre for Interdisciplinary Research in Rehabilitation and Social Integration; Université Laval; Axe santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec - Université Laval, Quebec City. 3. Department of Epidemiology, Biostatistics and Occupational Health, McGill University; Institut national d'excellence en santé et en services sociaux, Montreal. 4. School of Rehabilitation Science, Faculty of Health Sciences, University of Ottawa, Ottawa. 5. Université Laval; Institut universitaire de formation et de recherche en soins, UNIL-CHUV, Lausanne, Switzerland.
Abstract
Purpose: Although there have been increasing demands for health care providers to take part in inter-professional practices in recent years, very little attention has been paid to the actualization of such practices in the private sector. This study describes private-sector physiotherapists' inter-professional practices regarding low back pain (LBP) management and identifies organizational and provider-level variables associated with the intensity of such practices. Method: A total of 327 randomly selected physiotherapists were surveyed in the province of Quebec. Data were analyzed using descriptive and multiple regression analyses. Results: Physiotherapists reported frequent interactions with other physiotherapists (daily/weekly for 52.6%), family physicians (51.0%), and physiotherapy (PT) assistants (45.2%), but infrequent interactions with psychologists (3.6%), neurosurgeons (0.9%), and chiropractors (0.3%). Frequently reported means of interactions were written and oral messages sent through clients (55.1% and 24.1%, respectively), face-to-face unplanned discussions (41.9%), and faxed or mailed letters (23.2%). Variables associated with the intensity of inter-professional practices (mean of 6.7 [SD 1.7] out of 10 on the Intensity of Interprofessional Practices Questionnaire for Private Sector Physiotherapists) were related to physiotherapists' clientele, social activities with other providers, and perceptions of inter-professional practices as well as organizational models, vision, and provision of PT training. Conclusions: There is room to improve inter-professional practices with private-sector physiotherapists involved in managing LBP. Targets for action include physiotherapists and their workplaces.
Purpose: Although there have been increasing demands for health care providers to take part in inter-professional practices in recent years, very little attention has been paid to the actualization of such practices in the private sector. This study describes private-sector physiotherapists' inter-professional practices regarding low back pain (LBP) management and identifies organizational and provider-level variables associated with the intensity of such practices. Method: A total of 327 randomly selected physiotherapists were surveyed in the province of Quebec. Data were analyzed using descriptive and multiple regression analyses. Results: Physiotherapists reported frequent interactions with other physiotherapists (daily/weekly for 52.6%), family physicians (51.0%), and physiotherapy (PT) assistants (45.2%), but infrequent interactions with psychologists (3.6%), neurosurgeons (0.9%), and chiropractors (0.3%). Frequently reported means of interactions were written and oral messages sent through clients (55.1% and 24.1%, respectively), face-to-face unplanned discussions (41.9%), and faxed or mailed letters (23.2%). Variables associated with the intensity of inter-professional practices (mean of 6.7 [SD 1.7] out of 10 on the Intensity of Interprofessional Practices Questionnaire for Private Sector Physiotherapists) were related to physiotherapists' clientele, social activities with other providers, and perceptions of inter-professional practices as well as organizational models, vision, and provision of PT training. Conclusions: There is room to improve inter-professional practices with private-sector physiotherapists involved in managing LBP. Targets for action include physiotherapists and their workplaces.
Entities:
Keywords:
inter-professional relations; low back pain; private sector; survey
Authors: Hans Heneweer; Geert Aufdemkampe; Maurits W van Tulder; Henri Kiers; Karel H Stappaerts; Luc Vanhees Journal: Spine (Phila Pa 1976) Date: 2007-03-01 Impact factor: 3.468
Authors: Brook I Martin; Judith A Turner; Sohail K Mirza; Michael J Lee; Bryan A Comstock; Richard A Deyo Journal: Spine (Phila Pa 1976) Date: 2009-09-01 Impact factor: 3.468