Harland Nicholas, Blacklidge Brian
Musckuloskeletal Dept., Friarage Hospital, Northallerton DL6 1JG, United Kingdom.
Physiotherapy. 2017 Jun;103(2):174-179. doi: 10.1016/j.physio.2016.09.002. Epub 2016 Sep 17.
Physiotherapy phone based, "Physio Direct" (PD) musculoskeletal triage and treat services are a relatively new phenomena. This study explored Physiotherapist and GP attitudes towards PD services.
Online national survey via cascade e-mail initiated by study leads.
488 Physiotherapists and 68 GPs completed the survey.
The survey asked three negatively worded and three positively worded Likert scale questions regarding PD services. It also collected demographic data and more global attitudes including a version of the friends and family test.
Overall both Physiotherapists and GP's have positive attitudes towards PD services. There was global agreement that PD triage was a good idea but in both groups the majority of respondents who expressed a definite opinion thought that patients would still eventually need to be seen face to face. The vast majority of all respondents also thought patients should be given a choice about first accessing PD services. Physiotherapists with experience of PD services had more positive and less negative attitudes than those without experience. More detailed results are discussed.
Relevant clinical stakeholders have generally positive attitudes towards PD services, but more so when they have experience of them. Counter to research findings significant proportions of respondents believe patients accessing PD services will still need to be seen face to face. The significant majority of respondents believe patients should be given a choice whether they access PD services in the first instance or not.
基于电话的物理治疗“物理治疗直接服务”(PD)的肌肉骨骼疾病分诊与治疗服务是一种相对较新的现象。本研究探讨了物理治疗师和全科医生对PD服务的态度。
由研究负责人发起通过级联电子邮件进行的全国在线调查。
488名物理治疗师和68名全科医生完成了调查。
该调查针对PD服务提出了三个否定措辞和三个肯定措辞的李克特量表问题。它还收集了人口统计学数据以及更全面的态度,包括一个版本的朋友和家人测试。
总体而言,物理治疗师和全科医生对PD服务都持积极态度。大家普遍认为PD分诊是个好主意,但在两组中,大多数表达明确意见的受访者认为患者最终仍需要面对面就诊。绝大多数受访者还认为应该让患者选择是否首先使用PD服务。有PD服务经验的物理治疗师比没有经验的物理治疗师态度更积极,负面态度更少。讨论了更详细的结果。
相关临床利益相关者对PD服务总体持积极态度,但有经验时态度更积极。与研究结果相反,相当比例的受访者认为使用PD服务的患者仍需要面对面就诊。绝大多数受访者认为应该让患者选择是否首先使用PD服务。