Anforderungen an Physiotherapeuten im Handlungsfeld ambulante Physiotherapiepraxis

Grafe, Marion; Probst, Annette

doi:10.1055/s-0032-1313101

Cited by 6 publications

(5 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another practical issue reported by German physiotherapists as a negative influence on the quality of treatment is the allotted treatment time [ 53 ]. A basic remuneration position is defined with a treatment time of 15 to 20 min per session.…”

Section: Discussionmentioning

confidence: 99%

Physiotherapists’ views of implementing a stratified treatment approach for patients with low back pain in Germany: a qualitative study

Karstens

Kuithan

Joos³

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundThe STarT-Back-Approach (STarT: Subgroups for Targeted Treatment) was developed in the UK and has demonstrated clinical and cost effectiveness. Based on the results of a brief questionnaire, patients with low back pain are stratified into three treatment groups. Since the organisation of physiotherapy differs between Germany and the UK, the aim of this study is to explore German physiotherapists’ views and perceptions about implementing the STarT-Back-Approach.MethodsThree two-hour think-tank workshops with physiotherapists were conducted. Focus groups, using a semi-structured interview guideline, followed a presentation of the STarT-Back-Approach, with discussions audio recorded, transcribed and qualitatively analysed using content analysis.ResultsNineteen physiotherapists participated (15 female, mean age 41.2 (SD 8.6) years). Three main themes emerged, each with multiple subthemes: 1) the intervention (15 subthemes), 2) the healthcare context (26 subthemes) and 3) individual characteristics (8 subthemes). Therapists’ perceptions of the extent to which the STarT-Back intervention would require changes to their normal clinical practice varied considerably. They felt that within their current healthcare context, there were significant financial disincentives that would discourage German physiotherapists from providing the STarT-Back treatment pathways, such as the early discharge of low-risk patients with supported self-management materials. They also discussed the need for appropriate standardised graduate and post-graduate skills training for German physiotherapists to treat high-risk patients with a combined physical and psychological approach (e.g., communication skills).ConclusionsWhilst many German physiotherapists are positive about the STarT-Back-Approach, there are a number of substantial barriers to implementing the matched treatment pathways in Germany. These include financial disincentives within the healthcare system to early discharge of low-risk patients. Therapists also highlighted the need for solutions in respect of scalable physiotherapy training to gain skills in combined physical and psychological approaches.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-2991-3) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Physiotherapists’ views of implementing a stratified treatment approach for patients with low back pain in Germany: a qualitative study

Karstens

Kuithan

Joos³

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…In contrast to this, two-thirds of the physiotherapists in Germany work in the primary health care sector (Destatis, 2017). Studies focusing on the demands that German physiotherapists meet in primary care settings confirm the discrepancies between current contents of physiotherapy education and actual working reality (Lehmann et al 2015;Grafe & Probst, 2012;Grafe & Behrens, 2019).…”

Section: Introductionmentioning

confidence: 83%

Exploring barriers, advantages and potentials in realising clinical education in private physiotherapy practice settings in Germany

Schwinger¹,

Grafe²

2020

OPJ

View full text Add to dashboard Cite

Background: Traditionally, the clinical education of physiotherapy students in Germany takes place in inpatient settings. Against the background that the majority of graduated physiotherapists work in private settings like private practices, this education structure is no longer viable. Therefore, there is a need to develop models of cooperation between private practice and schools of physiotherapy. Aim: The aim of this study is to describe advantages, barriers and options of collaboration between physiotherapy educational institutions and private practices. Methods: A qualitative interview study was conducted, in which two practice owners of a physiotherapy practice and two programme directors were interviewed using a problem-centred interview approach. All participants were contacted via email or telephone. Textual data was analysed using thematic analysis, to inductively discover and describe relevant themes. Results: The economic conditions of private practices in Germany, legal requirements and training regulations are identified as the main barriers preventing forms of collaboration. One of the advantages of offering students practical placements is their probable future employment. Successful collaboration may depend on remunerating clinical instruction time, relaxing legal requirements or increasing the participation of schools in practical training. Conclusion: Private practice needs financial and content-related support to engage in clinical education. Health insurance companies or the government could act as financial sponsors.

show abstract

Section: Introductionunclassified

“…Eine vorangegangene Studie arbeitete bereits spezifische Anforderungen aus Sicht der Therapeuten für das Handlungsfeld der ambulanten Physiotherapiepraxis heraus [16]. Demnach stellen insbesondere die Rahmenbedingungen und die Interaktion mit den Patienten eine zentrale Anforderung dar [16]. Laut einer Studie von Potter et al [10] befördert Zeitmangel in ambulanten Praxen die Unzufriedenheit der Patienten, was wiederum negativen Einfluss auf die Patienten-Therapeuten-Interaktion hat.…”

Section: Introductionunclassified

Der physiotherapeutische Takt

Grafe

Behrens

2019

physioscience

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Die Interaktion zwischen Patienten und Therapeuten gilt als unspezifischer Wirkfaktor in der physiotherapeutischen Behandlung. Neben praktischen, interpersonalen und kommunikativen Fähigkeiten beeinflussen organisatorische Rahmenbedingungen die Interaktion. Ziel In dieser Arbeit erfolgte eine handlungsfeldspezifische Analyse der Interaktion zwischen Patienten und Therapeuten in ambulanten Physiotherapiepraxen. Dabei wurde der Frage nachgegangen, welche Merkmale die Interaktion in der ambulanten Praxis charakterisieren und welche Bedeutung die Rahmenbedingungen der ambulanten Praxis in diesem Zusammenhang haben. Methode Die Studie wurde gemäß der Grounded Theory nach Corbin und Strauss konzipiert 1 2. Das Datenmaterial umfasste Videoaufzeichnungen von Behandlungen, Protokolle des lauten Denkens der aufgezeichneten Behandlungen, Feldprotokolle von Beobachtungen und Transkriptionen von Interviews. Nach dem Prinzip des Contrast Samplings wurden nach Rahmenbedingungen und Therapeutenmerkmalen differenzierte Situationen aufgenommen. Das Datenmaterial wurde transkribiert und interpretativ-kodierend ausgewertet. In die Studie waren insgesamt 9 in ambulanten Praxen arbeitende Therapeuten eingeschlossen. Ergebnisse Der Takt der ambulanten Physiotherapiepraxis wurde ausgehend von der zentralen Anforderung „immer im Takt bleiben“ definiert. Organisatorisch-strukturelle, therapeutisch-inhaltsbezogene und beziehungsbezogene Aufgaben sind Dimensionen dieses Takts. Sie verdeutlichen, dass pauschale Zeitvorgaben einem situationsspezifischen und patientenzentriertem Vorgehen entgegenstehen. Schlussfolgerung Der Takt der ambulanten Physiotherapiepraxis eröffnet eine Perspektive auf Anforderungen in der ambulanten Praxis. Dieser stellt ein heuristisches Modell dar, welches den gelungenen Umgang mit den Widersprüchlichkeiten beschreibt und insbesondere die situations- und beziehungsbezogenen Aspekte berücksichtigt.

show abstract

Anforderungen an Physiotherapeuten im Handlungsfeld ambulante Physiotherapiepraxis

Cited by 6 publications

References 1 publication

Physiotherapists’ views of implementing a stratified treatment approach for patients with low back pain in Germany: a qualitative study

Physiotherapists’ views of implementing a stratified treatment approach for patients with low back pain in Germany: a qualitative study

Exploring barriers, advantages and potentials in realising clinical education in private physiotherapy practice settings in Germany

Der physiotherapeutische Takt

Contact Info

Product

Resources

About