Perception of the Quality of Physiotherapy Care Provided to Outpatients from Primary Health Care in Chile

Abstract

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.

Perceived strengths and weaknesses of paediatric physiotherapy services: Results from an international survey

“…Access to and quality of health care services are key areas of concern for professionals and policymakers aiming to improve patient outcomes and the provision of efficient and equitable rehabilitation services (Reyes et al., 2020). For physiotherapists (PTs) working with children, access to services is of particular importance given the paramountcy of early intervention and parental support in paediatric rehabilitation (Guralnick, 2011).…”

Barriers and facilitators of integrating physiotherapy into primary health care settings: A systematic scoping review of qualitative research

“…After removing duplicates, 483 studies were screened. Next, 138 studies were evaluated based on their full text, and in the end, 44 qualitative studies [ 7 , 16 , 20 , 23 , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] ] were included in the study. Fig.…”

“…This systematic review included 44 qualitative studies conducted in 14 countries, mostly high-income countries: United Kingdom (27.2 %, n = 12) [ 34 , 36 , 39 , 47 , 49 , 52 , 58 , 62 , [64] , [65] , [66] , [67] ], Sweden (13.6 %, n = 6) [ 38 , 43 , 53 , 54 , 59 , 63 ], Ireland (11.3 %, n = 5) [ 32 , 35 , 40 , 44 , 48 ], Canada (11.3 %, n = 5) [ 7 , 20 , 23 , 37 , 68 ], the Netherlands (9.1 %, n = 4) [ 31 , 42 , 46 , 50 ], Norway (6.8 %, n = 3) [ 33 , 41 , 61 ], South Africa (4.5 %, n = 2) [ 60 , 69 ], Brazil (2.2 %, n = 1) [ 16 ], Chile (2.2 %, n = 1) [ 45 ], Germany (2.2 %, n = 1) [ 56 ], Iran (2.2 %, n = 1) [ 51 ], Spain (2.2 %, n = 1) [ 55 ], Australia (2.2 %, n = 1) [ 70 ], and multiple-countries (2.2 %, n = 1) [ 57 ]. Semi-structured interviews, focus group sessions, or both of them were the common data collection methods, respectively.…”

“…Regarding the stewardship dimension, 1) improving intra- and inter-professional collaborations [ 20 , 31 , 32 , 40 , 41 , 43 , 51 , 61 , 65 , 66 ]; 2) strengthening teamwork [ 32 , 33 , 35 , 37 , 39 , 48 , 51 , [57] , [58] , [59] , [67] , [68] , [69] , [70] ]; 3) effective communication among PHC team members [ 20 , 33 , 34 , 45 , 52 , 57 , 68 , 70 ]; and 4) enhancing patients’ awareness [ 35 , 47 , 49 , 61 , 69 ] were among the most common facilitators provided by the participants in the included studies. , some studies stated that employing effective advocacy strategies [ 20 , 23 , 40 , 45 , 57 , 60 ], gaining political support [ 51 ], and increasing the awareness of policymakers [ 51 , 69 ] were necessary prerequisites for the effective integration of physiotherapy services into . Participants in one study [ 51 ] believed that the participation of physiotherapists in relevant policymaking processes should be greater.…”

Percepción de la calidad del servicio en un centro de fisioterapia de una institución universitaria

“…Investigación en Salud Universidad de Boyacá Volumen 5 • Número 1 • Enero -Junio 2018 • ISSN 2389-7325 • e-ISSN: 2539-2018 DISCUSIÓN En los centros de práctica con estudiantes de fisioterapia, se encontró que los pacientes asocian elementos como el estilo de la supervisión, la relación entre estudiante y supervisor, la calidad del cuidado de fisioterapia, las calidades del estudiante, y el costo y la ubicación del servicio; uno de los aspectos más importantes es la comunicación efectiva y la relación entre supervisor y estudiante para su cuidado, ya que la comunicación incluye la participación activa del paciente (18). Igualmente, la comunicación es importante, ya que se relaciona con el trato al paciente y la confianza establecida entre este y el profesional.Además, aspectos estructurales como la asignación de espacios, los equipos técnicos, el acceso al servicio y la disponibilidad, se relacionan con la percepción de la calidad del servicio recibido(19).Uno de los factores de menor satisfacción es el costo, pero en general, los pacientes están satisfechos con la experiencia y los resultados de la fisioterapia particular. Otro elemento importante para la satisfacción son los atributos interpersonales del fisioterapeuta y el proceso de cuidado, en especial, en afecciones del sistema músculo-esquelético, uno de los sistemas de mayor predominio en la atención(20)(21)(22)(23).Como lo mencionan López, et al (24), el servicio brindado por el centro de fisioterapia en los elementos tangibles, incluye las actividades de atención en el servicio, que son considerados y calificados como buenos; además, evaluaron la capacidad de repuesta según el tiempo de espera y tiempo de sesión esperando menos de media hora calificándolo también como un buen servicio.…”