Perreault Kadija, Dionne Clermont E, Rossignol Michel, Poitras Stéphane, Morin Diane
Centre for Interdisciplinary Research in Rehabilitation and Social Integration; Université Laval.
Centre for Interdisciplinary Research in Rehabilitation and Social Integration; Université Laval; Axe santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec - Université Laval, Quebec City.
Physiother Can. 2016;68(4):323-334. doi: 10.3138/ptc.2015-37.
Although there have been increasing demands for health care providers to take part in inter-professional practices in recent years, very little attention has been paid to the actualization of such practices in the private sector. This study describes private-sector physiotherapists' inter-professional practices regarding low back pain (LBP) management and identifies organizational and provider-level variables associated with the intensity of such practices. A total of 327 randomly selected physiotherapists were surveyed in the province of Quebec. Data were analyzed using descriptive and multiple regression analyses. Physiotherapists reported frequent interactions with other physiotherapists (daily/weekly for 52.6%), family physicians (51.0%), and physiotherapy (PT) assistants (45.2%), but infrequent interactions with psychologists (3.6%), neurosurgeons (0.9%), and chiropractors (0.3%). Frequently reported means of interactions were written and oral messages sent through clients (55.1% and 24.1%, respectively), face-to-face unplanned discussions (41.9%), and faxed or mailed letters (23.2%). Variables associated with the intensity of inter-professional practices (mean of 6.7 [ 1.7] out of 10 on the Intensity of Interprofessional Practices Questionnaire for Private Sector Physiotherapists) were related to physiotherapists' clientele, social activities with other providers, and perceptions of inter-professional practices as well as organizational models, vision, and provision of PT training. There is room to improve inter-professional practices with private-sector physiotherapists involved in managing LBP. Targets for action include physiotherapists and their workplaces.
尽管近年来对医疗保健提供者参与跨专业实践的需求不断增加，但私营部门此类实践的实现却很少受到关注。本研究描述了私营部门物理治疗师在腰痛（LBP）管理方面的跨专业实践，并确定了与这些实践强度相关的组织和提供者层面的变量。在魁北克省，共对327名随机挑选的物理治疗师进行了调查。使用描述性分析和多元回归分析对数据进行了分析。物理治疗师报告称，他们经常与其他物理治疗师（52.6%为每天/每周）、家庭医生（51.0%）和物理治疗（PT）助理（45.2%）互动，但与心理学家（3.6%）、神经外科医生（0.9%）和脊椎按摩师（0.3%）的互动较少。经常报告的互动方式是通过客户发送书面和口头信息（分别为55.1%和24.1%）、面对面的无计划讨论（41.9%）以及传真或邮寄信件（23.2%）。与跨专业实践强度相关的变量（在私营部门物理治疗师跨专业实践强度问卷上，满分10分，平均分为6.7 [1.7]）与物理治疗师的客户群体、与其他提供者的社交活动、对跨专业实践的看法以及组织模式、愿景和PT培训的提供有关。在让私营部门物理治疗师参与LBP管理方面，跨专业实践仍有改进空间。行动目标包括物理治疗师及其工作场所。
