Physiotherapists’ and general practitioners’ views of self-referral and physiotherapy scope of practice: results from a national trial

Holdsworth, Lesley; Webster, Valerie; McFadyen, Angus

doi:10.1016/j.physio.2008.01.006

Cited by 55 publications

(56 citation statements)

References 14 publications

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“…The physiotherapists reported assessing body impairments and activity limitations, and the occupational therapists reported assessing activities of daily life; however, neither they nor the counsellors felt that their competence was requested. There are few studies investigating the role of other healthcare professionals in sickness certifications [23,26], but two previous Swedish interview studies with physiotherapists [24] and occupational therapists [25] confirm our findings regarding available competence to assess work ability, which is not being requested.…”

Section: Work Ability Assessmentssupporting

confidence: 78%

“…When there is a need for sick leave the physician together with the patient considers the advantages and the disadvantages of being on sick leave, determines the grade (full-time or part-time) and duration of sick leave, and what actions that need to be taken during the sick leave period in terms of investigations, treatments and rehabilitation interventions [3]. Previous research has shown that physicians belief that sickness certifications would benefit of involvement of other healthcare professions [18,10,8,23] and that physiotherapists [24,23] and occupational therapists [25] feel they have the competence to participate in work ability assessments. The few studies investigating the team members' roles indicate however an ambiguity in the team whether other healthcare professionals are supposed to work with work ability assessments [26].…”

Section: Introductionmentioning

confidence: 99%

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Primary Healthcare Professionals’ Experiences of the Sick Leave Process: A Focus Group Study in Sweden

et al. 2013

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Section: Work Ability Assessmentssupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Primary Healthcare Professionals’ Experiences of the Sick Leave Process: A Focus Group Study in Sweden

et al. 2013

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“…SR is a refreshing choice that empowers patients and challenges the public's perception of and reliance on GPs as the most appropriate point of contact for MSK disorders. Physiotherapists are recognized by GPs as competent first‐contact practitioners (Holdsworth et al, ; Pinnington and Miller, ), and their knowledge in managing MSK conditions has been shown to be superior to that of all grades of doctors, except orthopaedic consultants (Childs et al, ). Evidence exists that patients are insufficiently knowledgeable about physiotherapy (DoH, ; Holdsworth et al, ) and that some physiotherapists are not confident in treating patients without medical screening (Holdsworth et al, ).…”

Section: Discussionmentioning

confidence: 99%

Is Physiotherapy Self‐Referral with Telephone Triage Viable, Cost‐effective and Beneficial to Musculoskeletal Outpatients in a Primary Care Setting?

Mallett

Bakker

Burton

2014

Musculoskeletal Care

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The results of the present study showed that the introduction of the described SR pathway was feasible, cost-effective and offered comparable care. Certain aspects of the SR patient experience compared more favourably than those studied in traditional GP referral routes. They also added to an existing body of evidence supporting SR with a variety of administrative processes in various socioeconomic settings.

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“…The importance of peer support is reflected in previous studies' findings identifying turf protection on the part of other health professionals and professional demarcation as strong barriers to changes in practice. 35 This suggests that an important next step in gaining support for expanding physiotherapists' role to include ordering DI is to raise inter-professional awareness of physiotherapists' competencies and skill sets. Successful implementation of a health care innovation depends not only on the intended adopters but also on the context in which they work; a supportive work environment will facilitate uptake of this new practice.…”

Section: Discussionmentioning

confidence: 99%

Ordering Diagnostic Imaging: A Survey of Ontario Physiotherapists' Opinions on an Expanded Scope of Practice

Chong

Luca

Goldan³

et al. 2015

Physiotherapy Canada

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Purpose: To explore Ontario physiotherapists' opinions on their ability to order diagnostic imaging (DI). Methods: An online questionnaire was sent to all registered members of the College of Physiotherapists of Ontario. Descriptive statistics were calculated using response frequencies. Practice characteristics were compared using w 2 tests and Wilcoxon rank-sum tests. Results: Of 1,574 respondents (21% response rate), 42% practised in orthopaedics and 53% in the public sector. Most physiotherapists were interested in ordering DI (72% MRI/diagnostic ultrasound, 78% X-rays/computed tomography scans). Respondents with an orthopaedic caseload of 50% or more (p < 0.001) and those in the private sector (p < 0.001) were more interested in ordering DI. Respondents preferred a DI course that combined face-to-face and Web-based components and one that was specific to their area of practice. Most respondents perceived minimal barriers to the uptake of ordering DI, and most agreed that support from other health care professionals would facilitate uptake. Conclusion: The majority of Ontario physiotherapists are interested in ordering DI. For successful implementation of a health care change, such as physiotherapists' ability to order DI, educational needs and barriers to and facilitators of the uptake of the authorized activity should be considered.Key Words: diagnostic imaging; education; survey. RÉ SUMÉObjet: Connaître l'opinion des physiothé rapeutes de l'Ontario sur leur capacité d'ordonner des imageries diagnostiques (ID). Mé thodes: Un questionnaire en ligne a é té envoyé à tous les membres enregistré s de l'Ordre des physiothé rapeutes de l'Ontario. Des statistiques descriptives ont é té calculé es selon les fré quences des ré ponses obtenues. Les caracté ristiques de la pratique ont é té comparé es au moyen de tests du chi carré et de tests de Wilcoxon. Ré sultats: Parmi les 1 574 ré pondants (taux de ré ponse de 21%), 42% pratiquent l'orthopé die et 53% travaillent dans le secteur public. La majorité des physiothé rapeutes se sont dits inté ressé s à ordonner des ID (72% é taient inté ressé s par l'imagerie par ré sonance magné tique ou l'ultrasonoscopie et 78%, par les radiographies ou la tomodensitomé trie). Les ré pondants dont la charge de travail é tait composé e à plus de 50% de cas d'orthopé die (p < 0.001) et ceux qui travaillent dans le secteur public (p < 0.001) sont plus inté ressé s que les autres ré pondants. Les ré pondants ont indiqué qu'ils pré fè rent un cours d'imagerie diagnostique qui combine de l'enseignement en personne et des é lé ments d'apprentissage en ligne et qui soit spé cialisé dans leur domaine de pratique. La majorité des ré pondants perc¸oivent des obstacles minimaux au fait de prendre en charge la prescription d'ID et ont convenu qu'un soutien d'autres professionnels de la santé faciliterait cette prise en charge. Conclusion: La majorité des physiothé rapeutes de l'Ontario se sont dits inté ressé s à ordonner des ID. Pour assurer la ré ussite de la mise en oeuvre d'un chang...

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Physiotherapists’ and general practitioners’ views of self-referral and physiotherapy scope of practice: results from a national trial

Cited by 55 publications

References 14 publications

Primary Healthcare Professionals’ Experiences of the Sick Leave Process: A Focus Group Study in Sweden

Primary Healthcare Professionals’ Experiences of the Sick Leave Process: A Focus Group Study in Sweden

Is Physiotherapy Self‐Referral with Telephone Triage Viable, Cost‐effective and Beneficial to Musculoskeletal Outpatients in a Primary Care Setting?

Ordering Diagnostic Imaging: A Survey of Ontario Physiotherapists' Opinions on an Expanded Scope of Practice

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