Rural and remote physiotherapy: Its own discipline

Sheppard, Lorraine; Nielsen, Ilsa

doi:10.1111/j.1440-1854.2005.00697.x

Cited by 9 publications

(22 citation statements)

References 1 publication

(1 reference statement)

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“…Clinical practice focused on the breadth of general physiotherapy with a large musculoskeletal component; however, many physiotherapists desired recognition for their specialist work as ‘rural physiotherapists’. Sheppard and Nielsen 14 reinforce supporting physiotherapists' frequent role as single practitioners needing both to be generalists in physiotherapy and to overlap into other disciplines where there are fewer medical specialists and other allied health professionals. The increasing importance of physiotherapy's role in the promotion and maintenance of health, particularly as it applies to an ageing population with several co‐morbidities, is identified in the range of programs described by the study physiotherapists.…”

Section: Discussionmentioning

confidence: 93%

“…The increasing importance of physiotherapy's role in the promotion and maintenance of health, particularly as it applies to an ageing population with several co‐morbidities, is identified in the range of programs described by the study physiotherapists. Recognition of roles and responsibilities, largely in the public sector, and the development of area resource networks and infrastructure, requires financial commitment by Government at local, State and Federal levels 9,14 …”

Section: Discussionmentioning

confidence: 99%

“…Recently, allied health professions including physiotherapy have been considered in projects to address recruitment and retention of rural allied health professionals 11–13 . One paper identifies rural and remote physiotherapy as its own discipline 14 . The assumption that results from one profession can be generalised to others is a limitation, and current research strongly recommends that issues related to specific professions should be addressed 15 .…”

Section: Introductionmentioning

confidence: 99%

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Physiotherapy in rural and regional Australia

Williams

D'Amore

McMeeken

2007

Australian J Rural Health

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Rural physiotherapy recruitment and retention strategies must address resource shortcomings by developing career paths, access to postgraduate education and support. Enhancing workforce capacity could enable more students to have meaningful rural experience to assist recruitment. Strategies highlighting existing positive features of rural practice, reinforced with tangible rewards and recognition of physiotherapists' contribution to the health care of Australians are recommended.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physiotherapy in rural and regional Australia

Williams

D'Amore

McMeeken

2007

Australian J Rural Health

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“…2005). Sheppard & Neilsen (2005) identified skills for physiotherapists working in rural and remote communities. These include determining population‐based needs and facilitating community development, developing appropriate communication strategies, devising responsive strategies to individual and community needs, learning new professional identities, identifying appropriate referrals and networks and acting as researchers and evaluators of their practice.…”

Section: Introductionmentioning

confidence: 99%

“…Revision of physiotherapy curricula towards a re-configured healthcare philosophy poses a challenge in the light of limited literature highlighting the experiences of rural physiotherapists locally and internationally (Arthur et al 2005). Sheppard & Neilsen (2005) identified skills for physiotherapists working in rural and remote communities. These include determining populationbased needs and facilitating community development, developing appropriate communication strategies, devising responsive strategies to individual and community needs, learning new professional identities, identifying appropriate referrals and networks and acting as researchers and evaluators of their practice.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapists in under-resourced South African communities reflect on practice

Ramklass

2009

Health &Amp; Social Care in the Community

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Increasing access to health services and the introduction of primary health care are the cornerstones of transforming healthcare initiatives in South Africa. Sustainability of healthcare provision in rural and under-resourced areas is secured by legislation of a year-long community service (CS) contract with graduating healthcare practitioners. This study explored how the first cohort of physiotherapists experienced their year-long CS and how they felt their undergraduate training prepared them for practice. A survey was conducted at the end of 2003 amongst the first cohort of CS physiotherapists who emerged from the physiotherapy programme of a South African university. All 23 of the graduates from the 2002 final year class were invited to participate in the study. A self-administered open-ended questionnaire was faxed to the participants. Twenty of the 23 questionnaires were completed and returned within a month. The questionnaires were coded and the data were analysed using content analysis methodology. The results were categorised into emerging patterns. CS physiotherapists assessed their preparation for practice largely in relation to the technical skills that were acquired through the curriculum. Community-based physiotherapy practice in under-resourced areas was under-emphasised in the curriculum in relation to practice opportunities within hospital and institution-based settings. The curriculum was found not to advance the role of physiotherapists as socially responsive agents and appeared to pay little attention to knowledge underpinning socio-cultural and inter-professional relations. Physiotherapy academic knowledge alone was inadequate to support novice physiotherapists within under-resourced communities in their multiple roles as clinician, manager of physiotherapy department, as member of a multidisciplinary team, health educator and advocate for social justice.

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What factors influence physiotherapy service provision in rural communities? A pilot study

Adams

Sheppard

Jones

et al. 2014

Aust J Rural Health

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Influencing factors described by participants both align and extend our understanding of issues described in the rural physiotherapy literature. Participant insights add depth and meaning to quantitative data by revealing impacts on local service provision. Available funding and facility priorities were key determinants of public sector physiotherapy service provision, with market size and business model appearing more influential in private practice. The level of self direction or choice about which services to provide, emerged as a point of difference between public and private providers. Decisions by public sector physiotherapists about service provision appear constrained by existing capacity and workload. Further research into service level decision making might provide valuable insights into rural health service delivery.

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Rural and remote physiotherapy: Its own discipline

Cited by 9 publications

References 1 publication

Physiotherapy in rural and regional Australia

Physiotherapy in rural and regional Australia

Physiotherapists in under-resourced South African communities reflect on practice

What factors influence physiotherapy service provision in rural communities? A pilot study

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