Kyle Vader1,2, Rachelle Ashcroft3, Brenna Bath4, Simon Décary5, Simon Deslauriers6, François Desmeules7, Catherine Donnelly1, Kadija Perreault6, Julie Richardson8, Sarah Wojkowski8, Jordan Miller1. 1. School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. 2. Chronic Pain Clinic, Kingston Health Sciences Centre, Kingston, Ontario, Canada. 3. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada. 4. School of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. 5. Research Centre in Primary Care in Health and Social Services, Université Laval, Quebec City, Quebec, Canada. 6. Department of Rehabilitation, Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Université Laval, Quebec City, Quebec, Canada. 7. School of Rehabilitation, Université de Montréal, Montreal, Quebec, Canada. 8. School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Abstract
Purpose: This study describes (1) the current state of physiotherapy practice in team-based primary care organizations in Ontario, (2) the perceived barriers to and facilitators of providing physiotherapy services, and (3) recommendations for improving how these services are provided. Method: This was a cross-sectional, web-based survey. We analyzed the responses using descriptive statistics and summative content analysis. Results: A total of 66 responses were received, and 61 were included in the final analysis. The respondents reported that most of their practice was directed toward musculoskeletal care, followed by multi-system, neurological, and cardiorespiratory conditions, and that most of their direct patient care was focused on in-person, one-to-one assessment or follow-up. Frequently identified barriers to providing physiotherapy services included a lack of space, resources, time, and equipment. The most common facilitators were support from management, recognition and support from other health care providers about the value and role of physiotherapists, and appropriate referrals from other health care providers. The most common recommendation was to increase the physiotherapist-to-patient ratio at primary care sites. Conclusions: Physiotherapists provide care to diverse populations in team-based primary care, which is influenced by specific barriers and facilitators. Our results highlight opportunities for physiotherapists in this context, such as increasing the provision of first-contact care and group-based interventions.
Purpose: This study describes (1) the current state of physiotherapy practice in team-based primary care organizations in Ontario, (2) the perceived barriers to and facilitators of providing physiotherapy services, and (3) recommendations for improving how these services are provided. Method: This was a cross-sectional, web-based survey. We analyzed the responses using descriptive statistics and summative content analysis. Results: A total of 66 responses were received, and 61 were included in the final analysis. The respondents reported that most of their practice was directed toward musculoskeletal care, followed by multi-system, neurological, and cardiorespiratory conditions, and that most of their direct patient care was focused on in-person, one-to-one assessment or follow-up. Frequently identified barriers to providing physiotherapy services included a lack of space, resources, time, and equipment. The most common facilitators were support from management, recognition and support from other health care providers about the value and role of physiotherapists, and appropriate referrals from other health care providers. The most common recommendation was to increase the physiotherapist-to-patient ratio at primary care sites. Conclusions: Physiotherapists provide care to diverse populations in team-based primary care, which is influenced by specific barriers and facilitators. Our results highlight opportunities for physiotherapists in this context, such as increasing the provision of first-contact care and group-based interventions.
Entities:
Keywords:
interprofessional relations; patient care team; primary health care; surveys and questionnaires
Authors: S Greenfield; E C Nelson; M Zubkoff; W Manning; W Rogers; R L Kravitz; A Keller; A R Tarlov; J E Ware Journal: JAMA Date: 1992-03-25 Impact factor: 56.272
Authors: Kyle Vader; Catherine Donnelly; Simon D French; Colleen Grady; Jonathan C Hill; Dean A Tripp; Ashley Williams; Jordan Miller Journal: BMC Prim Care Date: 2022-08-11