We explored outpatient's perceptions on the quality of physiotherapy care provided in three urban primary care centers of Valdivia, Chile, through a descriptive phenomenological study. We collected data from 21 participants through semistructured interviews which were analyzed using the Colaizzi approach. Two main themes emerged: quality related to the professional and structure of the care system. Perceptions about the care received from the physiotherapist are influenced by factors such as communication, the way they treat the patient, and the trust established between patient and professional. In addition, structural aspects such as allocation of spaces, technical equipment and rehabilitation devices, access to centers, and the availability of the physiotherapist affect satisfaction and the perception of the quality of the service received. As it occurs in other health services provided by different health-care professionals, the quality of physiotherapy care is related to subjective (relational) and objective (structural) perceptions.

In this paper we present the rationale and beginning of work on improving e-Iearning objects through the use of analytics modeled after Google Analytics. Prior work on the use of metrics in e-Iearning has focused on user satisfaction, and the ranking and selection of learning objects from a set of available choices. This work differs in its focus on the kinds of metrics needed to improve an existing object, or even more specifically to make improvements to specific pages within an object. This work is based on the now well established track record of using Google Analytics for website optimization in e commerce. We discuss adaptations needed to apply similar metrics in the context of e-Iearning and more specifically e learning objects.

RESUMENObjetivo Describir las percepciones de pacientes ambulatorios de atención primaria sobre la imagen social del kinesiólogo y su rol profesional. Método Estudio cualitativo fenomenológico en usuarios mayores de 18 años de tres centros de atención primaria de Valdivia, Chile. Por criterio de saturación de datos se incorporaron 21 participantes mediante muestreo intencional. Se realizaron entrevistas semiestructuradas analizadas con el método Colaizzi. Resultados Surgieron dos temas principales: "conocimiento del rol del kinesiólogo" y "valor otorgado al kinesiólogo". La imagen social sigue débil y no bien reconocida por los usuarios, algunos de los cuales solo la identifican al acceder a terapia. Se percibe su rol en las áreas de rehabilitación, trastornos esqueléticos y terapia respiratoria, asignando una valoración diferencial dentro del equipo de salud. Conclusión En Chile hay desconocimiento sobre la esencia y foco de la kinesiología siendo una profesión poco visible con un campo del quehacer no reconocido plenamente. Palabras Clave: Fisioterapia; rol profesional; atención primaria de salud; investigación cualitativa (fuente: DeCS, BIREME). ABSTRACTObjective To describe the perceptions of primary care outpatients about the social image of physiotherapists and their professional role. Materials and Methods A qualitative phenomenological study was carried out in patients over 18 years of age, who were recruited from three primary care centers of Valdivia, Chile. Based on saturation data criterion, 21 participants were enrolled using purposeful sampling. Semi-structured interviews were conducted, which were analyzed using the Colaizzi method. Results Two main topics emerged: "knowledge of the physiotherapist role" and "value given to the physiotherapist". The social image is still weak and not well recognized by users, since some of them only identify it once they have access to therapy. Their role in rehabilitation, skeletal disorders and respiratory therapy areas is acknowledged, assigning a differential valuation within the health team. Conclusion In Chile, knowledge on the essence and focus of physiotherapy is scarce, and the profession is still little visible with a field of work not fully recognized.