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私营部门的物理治疗师对跨专业和专业内协作管理腰痛工作有何看法?

What are private sector physiotherapists' perceptions regarding interprofessional and intraprofessional work for managing low back pain?

作者信息

Perreault Kadija, Dionne Clermont E, Rossignol Michel, Poitras Stéphane, Morin Diane

机构信息

a Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Institut de réadaptation en déficience physique de Québec , Québec City , Québec , Canada.

b Department of Rehabilitation , Université Laval, Pavillon Ferdinand-Vandry , Québec City , Québec , Canada.

出版信息

J Interprof Care. 2018 Jul;32(4):525-528. doi: 10.1080/13561820.2018.1451829. Epub 2018 Mar 28.

DOI:10.1080/13561820.2018.1451829
PMID:29589780
Abstract

In the last decades, interactions between health professionals have mostly been discussed in the context of interprofessional teamwork where professionals work closely together and share a team identity. Comparatively, little work has been done to explore interactions that occur between professionals in contexts where traditionally formal structures have been less supporting the implementation of interprofessional teamwork, such as in the private healthcare sector. The objective of this study was to identify private sector physiotherapists' perceptions of interprofessional and intraprofessional work regarding interventions for adults with low back pain. This was a cross-sectional survey of 327 randomly-selected physiotherapists. Data were analysed using descriptive statistics. A majority of physiotherapists reported positive effects of interprofessional work for their clients, themselves and their workplaces. Proximity of physiotherapists with other professionals, clinical workloads, and client's financial situation were perceived as important factors influencing the implementation of interprofessional work. Low back pain is a highly prevalent and disabling condition. The results of this study indicate that integrating interprofessional work in the management of low back pain in the private sector is warranted. Furthermore, the implementation of interprofessional work is viewed by practicing physiotherapists as dependent upon certain client-, professional- and organizational-level factors.

摘要

在过去几十年里,卫生专业人员之间的互动大多是在跨专业团队合作的背景下进行讨论的,即专业人员紧密合作并共享团队身份。相比之下,在传统正式结构对跨专业团队合作实施支持较少的环境中,如在私立医疗保健部门,探讨专业人员之间互动的工作做得较少。本研究的目的是确定私营部门物理治疗师对针对成人腰痛干预措施的跨专业和专业内工作的看法。这是一项对327名随机挑选的物理治疗师进行的横断面调查。数据采用描述性统计进行分析。大多数物理治疗师报告称跨专业工作对他们的客户、他们自己和他们的工作场所有积极影响。物理治疗师与其他专业人员的接近程度、临床工作量以及客户的财务状况被视为影响跨专业工作实施的重要因素。腰痛是一种高度普遍且使人致残的病症。本研究结果表明,在私营部门将跨专业工作纳入腰痛管理是有必要的。此外,执业物理治疗师认为跨专业工作的实施取决于某些客户、专业人员和组织层面的因素。

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