French Helen P, Galvin Rose
1School of Physiotherapy,Royal College of Surgeons in Ireland,Dublin,Republic of Ireland.
2Discipline of Physiotherapy,Department of Clinical Therapies,University of Limerick,Limerick,Republic of Ireland.
Prim Health Care Res Dev. 2018 Jan;19(1):77-87. doi: 10.1017/S1463423617000469. Epub 2017 Aug 14.
Aim Integrated multidisciplinary primary healthcare is still in a relatively early stage of development in Ireland, with significant restructuring occurring in the past decade. Musculoskeletal physiotherapy services traditionally provided in acute hospital settings have been relocated into the primary care setting where the physiotherapist works as part of the multidisciplinary team. This study aimed to explore physiotherapy managers' experiences of managing musculoskeletal physiotherapy services in primary care to gain an insight into the opportunities and challenges in service delivery, changing roles and ongoing professional development needs of staff. Participants Qualitative design using semi-structured interviews with primary care physiotherapy managers in the Republic of Ireland was employed.
Five interviews took in a mix of rural and urban areas nationally. The relationship with the GP was an important one in musculoskeletal physiotherapy services in primary care. Physiotherapists were well skilled but opportunities for professional and career development were restricted. Methods of optimising resources in the face of staffing restrictions were identified. Whilst there were many examples of innovations in service delivery, various barriers negatively impacted on optimal service including resource constraints and national strategy.
A number of factors that impact on musculoskeletal service delivery in primary care from the perspective of physiotherapy managers were identified in this study. Future research should explore the views of other stakeholders to provide a more thorough understanding of the relevant issues affecting musculoskeletal physiotherapy service provision in primary care in Ireland.
目的 综合多学科初级医疗保健在爱尔兰仍处于相对早期的发展阶段，在过去十年中发生了重大重组。传统上在急性医院环境中提供的肌肉骨骼物理治疗服务已转移到初级保健环境中，物理治疗师作为多学科团队的一员开展工作。本研究旨在探讨物理治疗管理人员在初级保健中管理肌肉骨骼物理治疗服务的经验，以深入了解服务提供中的机遇和挑战、角色变化以及工作人员持续的专业发展需求。参与者 采用对爱尔兰共和国初级保健物理治疗管理人员进行半结构化访谈的定性设计。
在全国城乡结合地区进行了五次访谈。在初级保健的肌肉骨骼物理治疗服务中，与全科医生的关系很重要。物理治疗师技能娴熟，但专业和职业发展机会有限。确定了在人员配备受限情况下优化资源的方法。虽然在服务提供方面有许多创新实例，但各种障碍对最佳服务产生了负面影响，包括资源限制和国家战略。
本研究确定了从物理治疗管理人员角度影响初级保健中肌肉骨骼服务提供的若干因素。未来的研究应探讨其他利益相关者的观点，以便更全面地了解影响爱尔兰初级保健中肌肉骨骼物理治疗服务提供的相关问题。
