加拿大社区医院的周末物理治疗实践。
Weekend physiotherapy practice in community hospitals in Canada.
作者信息
Ottensmeyer C Andrea, Chattha Sanmeet, Jayawardena Shemayi, McBoyle Kelly, Wrong Christine, Ellerton Cindy, Mathur Sunita, Brooks Dina
机构信息
Department of Physical Therapy, University of Toronto.
出版信息
Physiother Can. 2012 Spring;64(2):178-87. doi: 10.3138/ptc.2011-19. Epub 2012 Apr 5.
PURPOSE
To analyze weekend physiotherapy services in acute-care community hospitals across Canada.
METHOD
Questionnaires were mailed to acute-care community hospitals (institutions with >100 inpatient beds, excluding psychiatric, mental health, paediatric, rehabilitation, tertiary, and long-term care facilities) across Canada from January to April 2010. The questionnaire collected information on patient referral criteria, staffing, workload, and compensation for weekend physiotherapy services and on the availability of other rehabilitation health professionals.
RESULTS
Of 146 community hospitals deemed eligible, 104 (71%) responded. Weekend physiotherapy was offered at 69% of hospitals across Canada, but this rate varied: ≥75% in all regions except Quebec (30%). Hospitals with a high proportion of acute-care beds were more likely to offer weekend physiotherapy services (logistic regression, p=0.021). Services differed among Saturdays, Sundays, and holidays in terms of the numbers of both physiotherapists and physiotherapy assistants working (Kruskal-Wallis, p<0.02 for each). Physiotherapists were predominantly compensated via time off in lieu. Of hospitals not offering weekend physiotherapy, 53% reported that it would benefit patients; most perceived staffing and financial barriers. Social-work services were offered on the weekend at 24% of hospitals and occupational therapy at 16%.
CONCLUSIONS
Substantial regional variation exists in access to weekend physiotherapy services in acute-care community hospitals. To address the importance of this variation, research on the efficacy and cost-effectiveness of such services is required.
UNLABELLED
To analyze weekend physiotherapy services in acute-care community hospitals across Canada. Questionnaires were mailed to acute-care community hospitals (institutions with >100 inpatient beds, excluding psychiatric, mental health, paediatric, rehabilitation, tertiary, and long-term care facilities) across Canada from January to April 2010. The questionnaire collected information on patient referral criteria, staffing, workload, and compensation for weekend physiotherapy services and on the availability of other rehabilitation health professionals. Of 146 community hospitals deemed eligible, 104 (71%) responded. Weekend physiotherapy was offered at 69% of hospitals across Canada, but this rate varied: ≥75% in all regions except Quebec (30%). Hospitals with a high proportion of acute-care beds were more likely to offer weekend physiotherapy services (logistic regression, =0.021). Services differed among Saturdays, Sundays, and holidays in terms of the numbers of both physiotherapists and physiotherapy assistants working (Kruskal–Wallis, <0.02 for each). Physiotherapists were predominantly compensated via time off in lieu. Of hospitals not offering weekend physiotherapy, 53% reported that it would benefit patients; most perceived staffing and financial barriers. Social-work services were offered on the weekend at 24% of hospitals and occupational therapy at 16%. Substantial regional variation exists in access to weekend physiotherapy services in acute-care community hospitals. To address the importance of this variation, research on the efficacy and cost-effectiveness of such services is required.
目的
分析加拿大急症护理社区医院的周末物理治疗服务。
方法
2010年1月至4月，向加拿大各地的急症护理社区医院（拥有超过100张住院床位的机构，不包括精神病、心理健康、儿科、康复、三级和长期护理机构）邮寄调查问卷。该问卷收集了有关患者转诊标准、人员配备、工作量、周末物理治疗服务报酬以及其他康复健康专业人员可用性的信息。
结果
在146家被认为符合条件的社区医院中，104家（71%）做出了回应。加拿大69%的医院提供周末物理治疗服务，但这一比例各不相同：除魁北克（30%）外，所有地区均≥75%。急症护理床位比例高的医院更有可能提供周末物理治疗服务（逻辑回归，p = 0.021）。周六、周日和节假日的服务在工作的物理治疗师和物理治疗助理人数方面存在差异（Kruskal-Wallis检验，每项p<0.02）。物理治疗师主要通过调休获得补偿。在不提供周末物理治疗的医院中，53%报告称这将使患者受益；大多数医院认为存在人员配备和资金障碍。24%的医院在周末提供社会工作服务，16%的医院提供职业治疗服务。
结论
急症护理社区医院在获得周末物理治疗服务方面存在显著的地区差异。为了解决这种差异的重要性，需要对这类服务的疗效和成本效益进行研究。
未标注
为分析加拿大急症护理社区医院的周末物理治疗服务。2010年1月至4月，向加拿大各地的急症护理社区医院（拥有超过100张住院床位的机构，不包括精神病、心理健康、儿科、康复、三级和长期护理机构）邮寄调查问卷。该问卷收集了有关患者转诊标准、人员配备、工作量、周末物理治疗服务报酬以及其他康复健康专业人员可用性的信息。在146家被认为符合条件的社区医院中，104家（71%）做出了回应。加拿大69%的医院提供周末物理治疗服务，但这一比例各不相同：除魁北克（30%）外，所有地区均≥75%。急症护理床位比例高的医院更有可能提供周末物理治疗服务（逻辑回归，=0.021）。周六、周日和节假日的服务在工作的物理治疗师和物理治疗助理人数方面存在差异（Kruskal–Wallis检验，每项<0.02）。物理治疗师主要通过调休获得补偿。在不提供周末物理治疗的医院中，53%报告称这将使患者受益；大多数医院认为存在人员配备和资金障碍。24%的医院在周末提供社会工作服务，16%的医院提供职业治疗服务。急症护理社区医院在获得周末物理治疗服务方面存在显著的地区差异。为了解决这种差异的重要性，需要对这类服务的疗效和成本效益进行研究。
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