Matifat E, Perreault K, Gagné M, Léveillé M, Desmeules F
School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, Québec, Canada.
Maisonneuve-Rosemont Hospital Research Center, University of Montreal Affiliated Research Center, Montréal, Québec, Canada.
J Eval Clin Pract. 2018 Jun;24(3):480-486. doi: 10.1111/jep.12893. Epub 2018 Mar 6.
To improve the efficiency of the health care system, new interprofessional models of care are emerging. In 2015, two provincial professional colleges, regulating the practice of physiotherapists and that of pharmacists in the province of Québec, Canada, developed a new interprofessional model of care. This model is designed to guide non-prescription medication recommendations by physiotherapists treating patients in primary care with neuromusculoskeletal disorders (NMSKD) with the collaboration of pharmacists.
To assess Québec physiotherapists' interests to use this model and explore their opinions concerning their ability to recommend non-prescription medications to patients in primary care with NMSKD.
An email invitation to complete an electronic survey was sent in February 2016 to all the Ordre professionnel de la physiothérapie du Québec's registered physiotherapists. The survey included a questionnaire with 31 questions divided into 5 sections. Descriptive analyses and Chi-square tests (χ ) were performed to compare proportions (%) across demographic and clinical characteristics.
Two hundred twenty-five physiotherapists completed the full survey. Of these, 70% of respondents knew of the model of care, but only 15% had previously used it. Perceived workload increase was one major reason reported for this lack of use (51%). Most of the respondents had a positive perception of this model and interactions with pharmacists and were confident regarding their ability to safely recommend medication (63%). However, 63% believed that further training was necessary to enable physiotherapists to provide efficient and safe non-prescription medication recommendations to patients with NMSKD.
Overall, physiotherapists have a positive perception of this model, but there remain opportunities for increased integration into practice. Most respondents believe that additional training is required regarding non-prescription medication recommendations.
为提高医疗保健系统的效率，新的跨专业护理模式正在兴起。2015年，加拿大魁北克省的两所省级专业学院，分别负责规范该省物理治疗师和药剂师的执业行为，共同开发了一种新的跨专业护理模式。该模式旨在指导物理治疗师在药剂师的协作下，为初级保健中患有神经肌肉骨骼疾病（NMSKD）的患者提供非处方药建议。
评估魁北克省物理治疗师使用该模式的意愿，并探讨他们对向初级保健中患有NMSKD的患者推荐非处方药能力的看法。
2016年2月，向魁北克省物理治疗师协会所有注册物理治疗师发送了一封电子邮件邀请，以完成一项电子调查。该调查包括一份有31个问题的问卷，分为5个部分。进行描述性分析和卡方检验（χ），以比较不同人口统计学和临床特征的比例（%）。
225名物理治疗师完成了完整调查。其中，70%的受访者知晓该护理模式，但只有l5%的人此前使用过。报告称，认为工作量增加是未使用该模式的一个主要原因（51%）。大多数受访者对该模式以及与药剂师的互动持积极看法，并对自己安全推荐药物的能力充满信心（63%）。然而,63%的人认为需要进一步培训，以使物理治疗师能够为患有NMSKD的患者提供有效且安全的非处方药建议。
总体而言，物理治疗师对该模式持积极看法，但在实践中仍有进一步整合的空间。大多数受访者认为，在非处方药建议方面需要额外培训。
