Purpose: To analyze weekend physiotherapy services in acute-care community hospitals across Canada. Method: Questionnaires were mailed to acutecare community hospitals (institutions with >100 inpatient beds, excluding psychiatric, mental health, paediatric, rehabilitation, tertiary, and long-term care facilities) across Canada from January to April 2010. The questionnaire collected information on patient referral criteria, staffing, workload, and compensation for weekend physiotherapy services and on the availability of other rehabilitation health professionals. Results: Of 146 community hospitals deemed eligible, 104 (71%) responded. Weekend physiotherapy was offered at 69% of hospitals across Canada, but this rate varied: b75% in all regions except Quebec (30%). Hospitals with a high proportion of acute-care beds were more likely to offer weekend physiotherapy services (logistic regression, p ¼ 0.021). Services differed among Saturdays, Sundays, and holidays in terms of the numbers of both physiotherapists and physiotherapy assistants working (Kruskal-Wallis, p < 0.02 for each). Physiotherapists were predominantly compensated via time off in lieu. Of hospitals not offering weekend physiotherapy, 53% reported that it would benefit patients; most perceived staffing and financial barriers. Social-work services were offered on the weekend at 24% of hospitals and occupational therapy at 16%. Conclusions: Substantial regional variation exists in access to weekend physiotherapy services in acute-care community hospitals. To address the importance of this variation, research on the efficacy and cost-effectiveness of such services is required.Key Words: rehabilitation; hospitals, community; delivery of health care; health services research. RÉ SUMÉObjectif : Analyser les services de physiothé rapie offerts durant les fins de semaine dans les hô pitaux communautaires de soins de courte duré e d'un bout à l'autre du Canada. Mé thode : De janvier à avril 2010, des questionnaires ont é té posté s aux hô pitaux communautaires de soins de courte duré e (é tablissements comptant plus de 100 lits pour hospitalisation, excluant les lits en psychiatrie, en santé mentale, en pé diatrie, en ré adaptation, les soins tertiaires et les é tablissements de soins prolongé s) partout au Canada. Le questionnaire visait à recueillir de l'information sur les critè res justifiant le renvoi en consultation, le personnel, la charge de travail et la ré muné ration pour des services de physiothé rapie offerts les fins de semaine, et sur la disponibilité d'autres professionnels de la santé oeuvrant en ré adaptation. Ré sultats : Des 146 hô pitaux communautaires admissibles, 104 (71 %) ont ré pondu. Des services de physiothé rapie é taient offerts les fins de semaine dans 69 % des hô pitaux au Canada, mais cette proportion varie : b75 % dans toutes les ré gions, sauf au Qué bec (30 %). Il é tait plus probable que des services de physiothé rapie soient offerts les fins de semaine dans les hô pitaux qui disposent d'une forte proportion de li...
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