What are the costs to NHS Scotland of self-referral to physiotherapy? Results of a national trial

Holdsworth, Lesley; Webster, Valerie; McFadyen, Angus

doi:10.1016/j.physio.2006.05.005

Cited by 75 publications

(86 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies show that an assessment by a physiotherapist costs considerably less [5][6]8] or at least not more than an assessment by a physician [11]. Self-referral to physiotherapists rather than referrals by a GP may also generate lower costs of total episodes of care [19][20] and might have both patient and service benefits according to a UK governmental report [21].…”

Section: Discussionmentioning

confidence: 99%

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

Ludvigsson¹,

Enthoven

2012

Physiotherapy

View full text Add to dashboard Cite

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

show abstract

Section: Discussionmentioning

confidence: 99%

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

Ludvigsson¹,

Enthoven

2012

Physiotherapy

View full text Add to dashboard Cite

show abstract

“…Ebenso heterogen ist die internationale Studienlage zur Frage, ob Gatekeeping-Systeme, die im Wesentlichen mit dem deutschen Modell der hausarztzentrierten Versorgung vergleichbar sind [18], Facharztbesuche reduzieren [19,20,21,22,23].…”

unclassified

Führt das Hausarztmodell zu mehr Gleichheit im Gesundheitssystem?

Schnitzer

Balke

Walter

et al. 2011

Bundesgesundheitsbl.

View full text Add to dashboard Cite

This article compares the health care situation of participants in programs of general practitioner-centered health care (gatekeeping) in Germany (participants) with that of statutory health insurance holders who are not participating in such programs (nonparticipants). Because a key objective of the general practitioner model is to reduce the number of visits to specialists, the article also examines factors influencing frequent utilization of specialists in both groups. The analysis draws on a survey conducted by the National Association of Statutory Health Insurance Physicians (Kassenärztliche Bundesvereinigung, 2010) based on a sample representative of the German population. In this context, 5,232 holders of statutory health insurance aged between 18 and 79 years were interviewed on health care policy issues. The results show that regulating the utilization of specialists through the gatekeeping function of general practitioners succeeds in facilitating similar utilization rates across educational levels, between cities and towns, and between men and women. Thus, gatekeeping programs contribute to the reduction of health care inequalities.

show abstract

“…A large study in Scotland in 2007 showed that self-referral to NHS physiotherapy services provided similar patient outcomes to those referred by GPs with quicker access and better adherence to treatment. 20 A pilot trial (STEMS) funded by the CSP looked at the feasibility of providing direct access to physiotherapy for adults with musculoskeletal pain when compared to usual access from a GP. Four GP practices were recruited with two remaining as GPled care and two as GP-led care plus the option of direct access to a physiotherapist.…”

Section: Improving Accessmentioning

confidence: 99%

Moving Forward - Physiotherapy for musculoskeletal health and wellbeing

2018

View full text Add to dashboard Cite

What are the costs to NHS Scotland of self-referral to physiotherapy? Results of a national trial

Cited by 75 publications

References 6 publications

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

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

Führt das Hausarztmodell zu mehr Gleichheit im Gesundheitssystem?

Moving Forward - Physiotherapy for musculoskeletal health and wellbeing

Contact Info

Product

Resources

About