Occupational therapy in primary care: Results from a national survey

Donnelly, Catherine; Leclair, Leanne; Wener, Pamela; Hand, Carri; Letts, Lori

doi:10.1177/0008417416637186

Cited by 27 publications

(30 citation statements)

References 14 publications

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“…Despite these barriers, the participants highlighted some facilitators that support integration of occupational therapy services in PHC reengineering streams of the NHI. These facilitatory strategies such as involvement with policy makers, exposing others in PHC to occupational therapy services as is done in community service placements and providing a good service has been shown to enable the integration of occupational therapy services in PHC internationally 14,53,63,64 .…”

Section: Discussionmentioning

confidence: 99%

“…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 survey utilised in the first phase of this study was adapted from an open access Canadian survey study on a national survey of occupational therapy in primary care by Donnelly et al 14 . The survey contained 17 closed and seven open-ended questions.…”

Section: Data Collection and Managementmentioning

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%

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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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Section: Discussionmentioning

confidence: 99%

Section: Literature Review Rehabilitation At a Primary Health Care Lementioning

confidence: 99%

Section: Data Collection and Managementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…When PCPs have a good understanding of the role of OTs, referrals for occupational therapy services increase; conversely, when PCPs have a poor understanding, the referral rate decreases, resulting in underuse of OTs (Donnelly et al, 2013;Metzler, Hartmann, & Lowenthal, 2012). Donnelly, Leclair, Wener, Hand, and Letts (2016) completed the first national survey of OTs working in PC in Canada. They discovered wide variability in the activities that OTs were providing.…”

mentioning

confidence: 99%

Occupational Therapy in Primary Care: Determining Receptiveness of Occupational Therapists and Primary Care Providers

Dahl-Popolizio¹,

Muir²,

Davis³

et al. 2017

The Open Journal of Occupational Therapy

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Background: Primary care (PC) is an emerging practice setting for occupational therapy; however, few occupational therapists currently practice in this setting due to barriers, including uncertainty about reimbursement and the role of occupational therapists. This pilot study aimed to determine if PC providers and occupational therapists are receptive to occupational therapists as integrated interprofessional PC team members if barriers to inclusion are addressed.. Method: After a brief educational paragraph explaining potential occupational therapy contributions to PC teams, the participants accessed a link to survey questions regarding their personal level of receptiveness to occupational therapy in PC. The questions comprised Likert scale and open-ended answers. Results: Of the Likert scale responses, 94%-99% provided by occupational therapists and 82%-97% provided by PC providers indicated possibly or yes to the inclusion of occupational therapists on the PC team. The descriptive responses were primarily supportive. Discussion: The majority of the occupational therapists and PC providers surveyed indicated support for including occupational therapists in primary care. This indicates that when barriers are addressed, occupational therapists and PC providers are receptive to the inclusion of occupational therapists as members of the interprofessional PC team.

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Conducting Research

Mirza¹,

Dahl-Popolizio

Smith³

2023

Primary Care Occupational Therapy

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Occupational therapy in primary care: Results from a national survey

Abstract: A growing number of occupational therapists are working in primary care providing a broad range of services across the life span.

Cited by 27 publications

References 14 publications

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

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

Occupational Therapy in Primary Care: Determining Receptiveness of Occupational Therapists and Primary Care Providers

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