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将类风湿关节炎社区管理政策转化为实际行动:针对物理治疗师的专业发展需求

Translating Policy into Practice for Community-Based Management of Rheumatoid Arthritis: Targeting Professional Development Needs among Physiotherapists.

作者信息

Fary Robyn E, Slater Helen, Chua Jason, Briggs Andrew M

机构信息

Curtin Health Innovation Research Institute, Curtin University, Building 609, 5 Parker Place, Bentley, P.O. Box U1987, Perth, WA 6845, Australia ; School of Physiotherapy, Curtin University, Building 408, Kent Street, Bentley, WA 6102, Australia.

出版信息

Int J Rheumatol. 2012;2012:240689. doi: 10.1155/2012/240689. Epub 2012 Nov 11.

Abstract

Introduction. Contemporary health policy promotes delivery of community-based health services to people with musculoskeletal conditions, including rheumatoid arthritis (RA). This emphasis requires a skilled workforce to deliver safe, effective care. We aimed to explore physiotherapy workforce readiness to co-manage consumers with RA by determining the RA-specific professional development (PD) needs in relation to work and educational characteristics of physiotherapists in Western Australia (WA). Methods. An e-survey was sent to physiotherapists regarding their confidence in co-managing people with RA and their PD needs. Data including years of clinical experience, current RA clinical caseload, professional qualifications, and primary clinical area of practice were collected. Results. 273 physiotherapists completed the survey. Overall confidence in managing people with RA was low (22.7-58.2%) and need for PD was high (45.1-95.2%). Physiotherapists with greater years of clinical experience, a caseload of consumers with RA, postgraduate qualifications in musculoskeletal physiotherapy, or who worked in the musculoskeletal area were more confident in managing people with RA and less likely to need PD. Online and face-to-face formats were preferred modes of PD delivery. Discussion. To enable community-based RA service delivery to be effectively established, subgroups within the current physiotherapy workforce require upskilling in the evidence-based management of consumers with RA.

摘要

引言。当代卫生政策提倡为包括类风湿关节炎(RA)在内的肌肉骨骼疾病患者提供基于社区的卫生服务。这种重点要求有一支技术熟练的劳动力队伍来提供安全、有效的护理。我们旨在通过确定与西澳大利亚州(WA)物理治疗师的工作和教育特征相关的RA特定专业发展(PD)需求,来探索物理治疗劳动力共同管理RA消费者的准备情况。方法。向物理治疗师发送了一项电子调查问卷,询问他们共同管理RA患者的信心以及他们的PD需求。收集了包括临床经验年限、当前RA临床病例量、专业资格以及主要临床实践领域等数据。结果。273名物理治疗师完成了调查。对管理RA患者的总体信心较低(22.7 - 58.2%),对PD的需求较高(45.1 - 95.2%)。临床经验年限更长、有RA患者病例量、拥有肌肉骨骼物理治疗研究生资格或在肌肉骨骼领域工作的物理治疗师对管理RA患者更有信心,且不太可能需要PD。在线和面对面形式是首选的PD提供模式。讨论。为了有效地建立基于社区的RA服务提供,当前物理治疗劳动力中的亚群体需要在RA消费者的循证管理方面提升技能。

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