Interprofessional Primary Care: The Value of Occupational Therapy

Dahl-Popolizio, Sue; Rogers, Oaklee; Muir, Sherry; Carroll, Jennifer K.; Manson, Lesley

doi:10.15453/2168-6408.1363

Cited by 18 publications

(18 citation statements)

References 7 publications

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“…Analysis of the interventions for the top 15 diagnostic categories demonstrated several reasons why occupational therapists should be included on an interprofessional team. First, as a member of a PC team, an occupational therapist adds another dimension to PC treatment, since the treating physician focuses on the medical management of the presenting condition and the occupational therapist focuses on addressing patient behaviors in the context of the patient's habits and routines (Dahl-Popolizio et al, 2017;Muir, 2012). Specific contributions of OT include identification of patient behaviors that inhibit treatment compliance and success (Roberts et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis: Most Common Diagnoses Seen in a Primary Care Clinic and Corresponding Occupational Therapy Interventions

Trembath¹,

Dahl-Popolizio²,

Vanwinkle³

et al. 2019

The Open Journal of Occupational Therapy

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Background: The literature supports occupational therapy (OT) on primary care (PC) interprofessional teams; however, due to uncertainty regarding the role of, and reimbursement for, OT in PC, few occupational therapists practice in PC. This study addressed the first barrier by identifying the 15 most common diagnoses in a specific PC practice and determining how many of them have evidence-based OT interventions appropriate for their treatments. Method: A retrospective analysis of the ICD-10 codes used by one physician during a 12-month period was completed. These codes were reviewed and categorized using a functional classification system to determine the 15 most frequently occurring diagnostic categories. These diagnostic categories were compared to evidence-based industry standard OT interventions. Results: We reviewed 1,769 distinct ICD-10 codes and condensed them into 58 thematically grouped diagnostic categories. The 15 most frequent categories comprised 64% of the codes used. Evidencebased OT interventions to treat conditions directly, or address related underlying issues and common comorbidities, were identified for 100% of these categories. Discussion: Evidence-based OT interventions exist to treat aspects of 100% of the 15 most common conditions seen in PC. The findings support the growing body of literature that demonstrate the use of occupational therapists as interprofessional PC team members. Comments The authors report that they have no conflicts of interest to disclose.

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Section: Discussionmentioning

confidence: 99%

Retrospective Analysis: Most Common Diagnoses Seen in a Primary Care Clinic and Corresponding Occupational Therapy Interventions

Trembath¹,

Dahl-Popolizio²,

Vanwinkle³

et al. 2019

The Open Journal of Occupational Therapy

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“…Similar success is achievable in South Africa with the integration of occupational therapy services in the PHC reengineering streams of the NHI. The presence of occupational therapists working in the inter-professional PHC team has been documented both locally and internationally resulting in increased access to immediate and collaborative needs-based care, while also saving costs 12,14,15 . Thus, occupational therapy in South Africa should form an essential component of PHC services, based on the CBR framework as highlighted in position statements from both national and international Occupational Therapy Associations 44,45 .…”

Section: Literature Review Rehabilitation At a Primary Health Care Lementioning

confidence: 99%

“…The lack of clarity is evidenced by the absence of detailed steps in implementing the policy. The lack of clarity is compounded by inadequate local evidence of the occupational therapy service provision in PHC even though there is a growing evidence for this role internationally [12][13][14][15] Thus, at this point in South Africa, when policies and frameworks in relation to disability and rehabilitation in PHC are in the initial phases of implementation, it is important to fill the knowledge gap by providing an evidence base for the integration of and provision of occupational therapy services in PHC 16 .…”

Section: Introductionmentioning

confidence: 99%

Occupational therapy services and perception of integration of these at primary healthcare level in South Africa

Jejelaye¹,

Maseko²,

Franzsen³

2019

S. Afr. j. occup. ther.

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Background: Literature indicates that access to rehabilitation services in South Africa is limited. Recent policy documents by the National Department of Health related to disability and rehabilitation propose the integration of occupational therapy services in primary healthcare (PHC). However, the implementation strategies concerning integration are not clear as there is inadequate evidence locally on the occupational therapy service provision in PHC even though there is growing evidence internationally.Purpose: This study sought to determine the services provided by occupational therapists in PHC and to explore the perceptions of the occupational therapists on the integration of occupational therapy services within the PHC reengineering streams of the National Health Insurance (NHI).Method: A two-phase explanatory sequential mixed method strategy was utilised in this study. A quantitative survey was sent to members of the occupational therapy professional association and an organisation of professionals providing rehabilitation services in rural communities. Qualitative data were then collected using semi-structured interviews with five therapists who completed the survey.Findings: Findings from this study showed there is increasing alignment of occupational therapy services in PHC with the communitybased rehabilitation (CBR), the Social Model, the International Classification of Functioning, Disability and Health (ICF), and the Medical Model using client self-management and case-management intervention approaches. The majority of occupational therapists are currently based in district hospitals (42%), community health centres (16%), community organisations (8%), and clinics (8%). Those working in the community indicated they work in a multidisciplinary team (MDT). They also use PHC service delivery models to manage people with disabilities (PWDs). Occupational therapists in PHC have a strong perception of their relevance in the PHC reengineering streams, despite the numerous barriers and few facilitators to the integration of occupational therapy services in the PHC reengineering streams of the NHI.Conclusion: The perception of the study participants is that occupational therapy service integration in the PHC reengineering streams will lead to improved healthcare. However, they are also of the opinion that integration will not happen without advocacy from occupational therapists or occupational therapy being adequately supported in PHC.✥ Anthony Jejelaye -Postgraduate student -conceptualisation and completion of project and article manuscript. ✥ Lebogang Maseko -supervisor of MSc project -helped with the conceptualisation and guidance for completion of project. ✥ Denise Franzsen -supervisor of MSc project -helped with the conceptualisation and guidance for completion of project.

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“…The focus of the PC OT interventions support the overall goals of the PC team, which may include a variety of providers in addition to the primary care provider (PCP), such as counselors, social workers, nurses, pharmacists, psychologists, or physical therapists. Occupational therapists in PC focus on symptom reduction and help patients successfully change their daily habits and routines to prevent or manage chronic conditions, promote health, and increase independent self-management of medical conditions and of general health (Dahl-Popolizio, Rogers, Muir, Carroll, & Manson, 2017). Occupational therapists can address acute musculoskeletal injuries, developmental delays, and mental health needs in the PC setting (AOTA, 2018b;Flick & Zachary, 2018;Murphy, Janevic, Lee, & Williams, 2018;Read, Roush, & Downing, 2018;Siegel, Jones, & Poole, 2018).…”

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confidence: 99%