A geographical workforce analysis of hand therapy services in relation to US population characteristics

Stegink-Jansen, Caroline W.; Collins, Prisca M.; Lindsey, Ronald W.; Wilson, James L.

doi:10.1016/j.jht.2017.06.004

Cited by 4 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The average age of participants was substantially lower than the age of hand therapist reported in the USA 42 . Younger participants were included in the sample given that novice therapists are frequently required to treat hand-injured patients in South Africa 43 and the majority (67.7%) of the South African occupational therapy population is under 40 years of age 44 .…”

Section: Participant Demographicsmentioning

confidence: 67%

'The hand belongs to someone': a therapist perspective on patient compliance

Stormbroek

2021

S. Afr. j. occup. ther.

View full text Add to dashboard Cite

Background: Compliance is considered to be a central element of effective health systems. In terms of rehabilitation, both nonattendance and non-compliance of patients with hand injuries in South Africa have been reported. This study explored how occupational therapists practicing in the field of hand therapy, understand compliance and its perceived barriers and supports. Methods: A qualitative descriptive research design was employed. Nine occupational therapists who routinely treat patients with have conditions were purposively sampled. In-depth interviews were conducted, transcribed and inductive thematic analysis undertaken. Results: Therapists' understanding of compliance demonstrated elements of consensus and difference. Four themes captured participants' views of barriers and supports: compliance is enabled when a powerful collaboration exists between the client and the therapist. For this to be possible, the therapist needs to understand the life and times of an injured hand, co-constructing therapy on the foundation of understanding the patient as an occupational being. Powerful collaboration is further enabled by effective communication for collaboration, and lastly the characteristics of systems and services that work hold power to hinder or enhance compliance. Conclusion:Results suggest that collaborative co-authoring of the hand rehabilitation process is central to enabling compliance. Therapists require a robust understanding of the person they are treating and the complex context in which the person participates. Accessible communication, effective education and enabling systems and services are also vital. Furthermore, the way in which occupational therapists conceptualise compliance matters. Critical reflection is necessary to interrogate the philosophical assumptions that underpin the terminology that occupational therapists choose and how power is navigated in relationships with patients with hand injuries. AUTHOR CONTRIBUTIONKirsty van Stormbroek conceptualised and conducted the research.

show abstract

Section: Participant Demographicsmentioning

confidence: 67%

'The hand belongs to someone': a therapist perspective on patient compliance

Stormbroek

2021

S. Afr. j. occup. ther.

View full text Add to dashboard Cite

show abstract

“…Access to hand physical therapy (PT) services may be limited in certain areas of the United States. Stegink-Jansen et al mapped geographic locations of certified hand therapists in relation to populations living in accessible areas 92 . The geographic distribution of hand therapists aligned with population density; however, there was significant overrepresentation in urban areas and underrepresentation in rural areas after accounting for population density 92 .…”

Section: Resultsmentioning

confidence: 99%

“…Stegink-Jansen et al mapped geographic locations of certified hand therapists in relation to populations living in accessible areas 92 . The geographic distribution of hand therapists aligned with population density; however, there was significant overrepresentation in urban areas and underrepresentation in rural areas after accounting for population density 92 . Similarly, the highest poverty rates were noted in regions with no hand therapists, and regions with higher therapist availability served predominantly White and Asian patients compared with Black patients.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Socioeconomic Status Impacts Access to Orthopaedic Specialty Care

et al. 2022

View full text Add to dashboard Cite

Financial, personal, and structural barriers affect access to all aspects of orthopaedic specialty care.Disparities in access to care are present across all subspecialties of orthopaedic surgery in the United States.Improving timely access to care in orthopaedic surgery is crucial for both health equity and optimizing patient outcomes.Options for improving orthopaedic access include increasing Medicaid/Medicare payments to physicians, providing secondary resources to assist patients with limited finances, and reducing language barriers in both clinical care and patient education.

show abstract

Access to Hand Therapy Following Surgery in the United States

Krishnan

Chung

2020

Hand Clinics

View full text Add to dashboard Cite

A geographical workforce analysis of hand therapy services in relation to US population characteristics

Cited by 4 publications

References 24 publications

'The hand belongs to someone': a therapist perspective on patient compliance

'The hand belongs to someone': a therapist perspective on patient compliance

Socioeconomic Status Impacts Access to Orthopaedic Specialty Care

Access to Hand Therapy Following Surgery in the United States

Contact Info

Product

Resources

About