Michelle A Cottrell1, Anne J Hill2, Shaun P O'Leary3, Maree E Raymer4, Trevor G Russell2. 1. School of Health and Rehabilitation Science, University of Queensland, Queensland, Australia; Centre for Research Excellence in Telehealth, University of Queensland, Queensland, Australia; Physiotherapy Department, Ipswich Hospital, Queensland, Australia. Electronic address: michelle.cottrell@uqconnect.edu.au. 2. School of Health and Rehabilitation Science, University of Queensland, Queensland, Australia; Centre for Research Excellence in Telehealth, University of Queensland, Queensland, Australia. 3. School of Health and Rehabilitation Science, University of Queensland, Queensland, Australia; Physiotherapy Department, Royal Brisbane & Women's Hospital, Queensland, Australia; State-wide Neurosurgical and Orthopaedic Physiotherapy Screening Clinic & Multidisciplinary Service, Metro North Hospital & Health Service, Queensland, Australia. 4. Physiotherapy Department, Royal Brisbane & Women's Hospital, Queensland, Australia; State-wide Neurosurgical and Orthopaedic Physiotherapy Screening Clinic & Multidisciplinary Service, Metro North Hospital & Health Service, Queensland, Australia.
Abstract
BACKGROUND: The Neurosurgical & Orthopaedic Physiotherapy Screening Clinic and Multidisciplinary Service (N/OPSC&MDS) originated as a complementary, non-surgical pathway for patients referred to public neurosurgical and orthopaedic specialist services. Patient access to the N/OPSC&MDS could potentially be improved with the implementation of telerehabilitation as an additional method of service delivery. OBJECTIVE: To evaluate service provider's views on (1) current barriers to patients' accessing N/OPSC & MD services, and (2) the implementation of telerehabilitation within the N/OPSC&MDS. DESIGN: Qualitative descriptive study design. METHODS: Healthcare providers (n = 26) were recruited from six N/OPSC&MD services located throughout Queensland, Australia. Semi-structured interviews were conducted to explore service providers' views with respect to existing barriers to patients accessing the N/OPSC&MDS, and if telerehabilitation could be feasibly adopted to address current barriers. RESULTS: Template analysis resulted in six themes: (1) barriers to some patients' accessing current N/OPSC&MD services are complex & multifaceted; (2) telerehabilitation could improve patient access to appropriate management for their musculoskeletal condition; (3) telerehabilitation may have limitations when compared to face-to-face healthcare; (4) the delivery of telerehabilitation needs to be flexible; (5) perceived barriers, and (6) facilitators to the successful implementation of telerehabilitation within the N/OPSC&MDS. CONCLUSION: This study represents a critical step in determining the readiness of service providers for the implementation of telerehabilitation within the N/OPSC&MDS. Although cautious, service providers are overall accepting of the implementation of telerehabilitation, acknowledging that it could eliminate several current barriers, subsequently achieving more equitable access to the service. Crown
BACKGROUND: The Neurosurgical & Orthopaedic Physiotherapy Screening Clinic and Multidisciplinary Service (N/OPSC&MDS) originated as a complementary, non-surgical pathway for patients referred to public neurosurgical and orthopaedic specialist services. Patient access to the N/OPSC&MDS could potentially be improved with the implementation of telerehabilitation as an additional method of service delivery. OBJECTIVE: To evaluate service provider's views on (1) current barriers to patients' accessing N/OPSC & MD services, and (2) the implementation of telerehabilitation within the N/OPSC&MDS. DESIGN: Qualitative descriptive study design. METHODS: Healthcare providers (n = 26) were recruited from six N/OPSC&MD services located throughout Queensland, Australia. Semi-structured interviews were conducted to explore service providers' views with respect to existing barriers to patients accessing the N/OPSC&MDS, and if telerehabilitation could be feasibly adopted to address current barriers. RESULTS: Template analysis resulted in six themes: (1) barriers to some patients' accessing current N/OPSC&MD services are complex & multifaceted; (2) telerehabilitation could improve patient access to appropriate management for their musculoskeletal condition; (3) telerehabilitation may have limitations when compared to face-to-face healthcare; (4) the delivery of telerehabilitation needs to be flexible; (5) perceived barriers, and (6) facilitators to the successful implementation of telerehabilitation within the N/OPSC&MDS. CONCLUSION: This study represents a critical step in determining the readiness of service providers for the implementation of telerehabilitation within the N/OPSC&MDS. Although cautious, service providers are overall accepting of the implementation of telerehabilitation, acknowledging that it could eliminate several current barriers, subsequently achieving more equitable access to the service. Crown
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