Direct access to physiotherapy in primary care: now?—and into the future?

Holdsworth, Lesley; Webster, Valerie

doi:10.1016/j.physio.2004.01.005

Cited by 63 publications

(57 citation statements)

References 14 publications

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“…These evolutions indicate that the climate is changing. Many countries start to recognise the following benefits of direct patient access: shorter access episodes and improvements in cost-efficiency (Mitchell and De Lissovoy, 1997); improved clinical outcomes; improved patient satisfaction (e.g., access, and waiting time); and better management of chronic diseases (Holdsworth and Webster, 2004). It would also save valuable general practitioner time.…”

Section: Discussionmentioning

confidence: 99%

Obstacles to the implementation of evidence-based physiotherapy in practice: A focus group-based study in Belgium (Flanders)

Hannes

Staes

Goedhuys

et al. 2009

Physiotherapy Theory and Practice

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Section: Discussionmentioning

confidence: 99%

Obstacles to the implementation of evidence-based physiotherapy in practice: A focus group-based study in Belgium (Flanders)

Hannes

Staes

Goedhuys

et al. 2009

Physiotherapy Theory and Practice

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“…In the UK, direct access to physiotherapists has been suggested to lead to a reduction of GP work load [13]. In Sweden, direct access or self-referral to physiotherapy is possible, but it is still common for people to initially see a GP.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of physiotherapists as primary assessors of patients with musculoskeletal disorders seeking primary health care

Ludvigsson¹,

Enthoven

2012

Physiotherapy

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Design An observational, retrospective cohort study reviewing medical records, and a separate consecutive non-randomized study of patient satisfaction.Setting Health care centre in primary care.Participants 432 patients with musculoskeletal disorders, primarily assessed by a physiotherapist. 51 of these patients and 42 patients assessed by a GP answered a patient satisfaction questionnaire.Interventions Primary assessment and management of patients with musculoskeletal disorders.Main outcome measures Data from medical records including a 3-month follow-up, and patient satisfaction questionnaire.Results Eighty-five percent of patients (367/432) did not need to see a GP. Serious pathologies were found among the 6% (26/432) of the patients whom the physiotherapist referred to a GP, while none were found among the other 9% (39/432) who later returned for a GP appointment. Patients assessed by a physiotherapist were more satisfied with the information received about their disorders and about self-care than those assessed by a GP.They also had higher confidence in the physiotherapist's ability to assess their disorder (p<0.002). ConclusionPhysiotherapists can be considered primary assessors of patients with musculoskeletal disorders in primary care as few patients needed additional assessment by a GP, patients with confirmed serious pathologies had been identified by the physiotherapist, and the patients were satisfied with the assessment by the physiotherapist.3

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“…1,2 The scope of PT continues to evolve to reflect advances in research and practice and the need for new expertise in emerging areas. 3 For example, there has been a shift toward clinical specialization and advanced practice roles 4 that require physical therapists to pursue additional postgraduate education.…”

mentioning

confidence: 99%

Attitudes toward Master's and Clinical Doctorate Degrees in Physical Therapy

Mistry

Francis

Haldane

et al. 2014

Physiotherapy Canada

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Purpose: To examine the attitudes of a self-selected sample of Canadian physical therapists toward the transition from bachelor's to master's degrees and the implementation of clinical doctorate degrees in physical therapy (PT). Methods: A cross-sectional survey was conducted using a modified Dillman tailored approach. All eligible members of the Canadian Physiotherapy Association (CPA) were invited to participate. Results: Of 1,397 Canadian physical therapists who responded to the survey, 45% favoured the transition from bachelor's to master's degrees, 21% did not, and 34% were neutral; 27% favoured a transition from a master's to a doctoral degree for entry into practice in PT, 53% did not favour this transition, and 20% were neutral. Finally, 56% favoured the implementation of a post-professional clinical doctorate (PPCD) in PT, 23% did not, and 21% were neutral. Conclusions: Overall, a selfselected sample of Canadian physical therapists supported the future implementation of a post-professional clinical doctorate degree in PT but did not support an entry-to-practice doctoral degree. However, these results must be interpreted with caution because of the study's small sample size.Key Words: career choice; education; research; universities. RÉ SUMÉObjectif : Analyser les attitudes d'un é chantillon autochoisi de physiothé rapeutes au sujet du passage du baccalauré at à la maîtrise et de l'application de doctorats cliniques en physiothé rapie (PT). Mé thodes : On a procé dé à une é tude transversale basé e sur une straté gie Dillman personnalisé e modifié e. Tous les membres admissibles de l'Association canadienne de physiothé rapie (ACP) ont é té invité s à participer. Ré sultats : Sur 1 397 physiothé rapeutes qui ont ré pondu au questionnaire, 45% é taient pour la transition du baccalauré at à la maîtrise, 21% é taient contre et 34% é taient neutres; 27% é taient pour une transition de la maîtrise au doctorat au niveau dé butant en physiothé rapie, 53% é taient contre et 20% é taient neutres. Enfin 56% é taient pour la mise en oeuvre d'un doctorat clinique postprofessionnel (DCPP) en PT, 23% é taient contre et 21% é taient neutres. Conclusions : Dans l'ensemble, un é chantillon autosé lectionné de physiothé rapeutes a appuyé la mise en oeuvre future d'un doctorat clinique postprofessionnel en PT mais n'appuyait pas le doctorat au niveau dé butant. Il faut toutefois interpré ter ces ré sultats avec prudence à cause de la petite taille de l'é chantillon qui a servi à l'é tude.

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Direct access to physiotherapy in primary care: now?—and into the future?

Cited by 63 publications

References 14 publications

Obstacles to the implementation of evidence-based physiotherapy in practice: A focus group-based study in Belgium (Flanders)

Obstacles to the implementation of evidence-based physiotherapy in practice: A focus group-based study in Belgium (Flanders)

Evaluation of physiotherapists as primary assessors of patients with musculoskeletal disorders seeking primary health care

Attitudes toward Master's and Clinical Doctorate Degrees in Physical Therapy

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