Hart E, Pinkston D, Ritchey F J, Knowles C J
Binghamton General Hospital, NY 13903.
Phys Ther. 1990 Mar;70(3):179-87. doi: 10.1093/ptj/70.3.179.
This study was designed to measure the level of professional involvement of respondents and to examine the relationship between a high level of professional involvement (eg, membership in the American Physical Therapy Association, attendance at Association conferences, participation in continuing education programs) and the frequency of use of high-complexity procedures. A questionnaire survey of 165 Alabama physical therapists was conducted to establish 1) the ranking of 24 physical therapy procedures according to the perceived level of complexity and 2) the relationship of a procedure's rank to delegation of that procedure to support personnel. The ranking and a cluster analysis of the 24 procedures correlated with similar ranking in other studies (Pearson r = .92). The level of complexity of a procedure influenced delegation to support personnel, with high-complexity procedures being delegated less frequently and requiring greater supervision than moderate- and low-complexity procedures. There was variation in the frequency of use of procedures, but a clear relationship was not found between a high level of professional involvement and use of high-complexity procedures. A relationship existed between professional involvement and both job title and types of referrals received. Those physical therapists with a higher level of professional involvement tended to be directors and supervisors (chi 2 = 28.29, df = 2, p less than .001), and they received autonomous referrals with greater frequency than those physical therapists with a lower level of involvement (chi 2 = 16.25, df = 3, p less than .001). The findings have implications for the continued professionalization of physical therapy and for the role that physical therapy educators and administrators play in this process.
本研究旨在衡量受访者的专业参与程度，并考察高度专业参与（如成为美国物理治疗协会会员、参加协会会议、参与继续教育项目）与高复杂性程序使用频率之间的关系。对165名阿拉巴马州的物理治疗师进行了问卷调查，以确定：1）根据感知到的复杂程度对24种物理治疗程序进行排名；2）程序排名与将该程序委托给支持人员之间的关系。这24种程序的排名和聚类分析与其他研究中的类似排名相关（皮尔逊相关系数r = 0.92）。程序的复杂程度影响了委托给支持人员的情况，与中等和低复杂性程序相比，高复杂性程序的委托频率较低，且需要更多监督。程序的使用频率存在差异，但未发现高度专业参与与高复杂性程序的使用之间存在明确关系。专业参与与职位头衔和收到的转诊类型之间存在关联。专业参与程度较高的物理治疗师往往担任主任和主管（卡方 = 28.29，自由度 = 2，p < 0.001），他们比专业参与程度较低的物理治疗师更频繁地收到自主转诊（卡方 = 16.25，自由度 = 3，p < 0.001）。这些发现对物理治疗的持续专业化以及物理治疗教育工作者和管理人员在这一过程中所扮演的角色具有启示意义。
