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风湿科医生对物理治疗师转介患者的接受程度。

Rheumatologists' Acceptance of Patient Referrals from Physical Therapists.

机构信息

Professor, School of Rehabilitation, Physiotherapy Program and School of Public Health, Department of Social and Preventive Medicine, University of Montreal; Researcher, Centre for Interdisciplinary Research in Rehabilitation, Centre for Public Health Research, University of Montreal, Montreal, QC.

Associate Clinical Professor, University of Montreal, Department of Rheumatology, Maisonneuve-Rosemont Hospital, Montreal, QC.

出版信息

Healthc Policy. 2020 Nov;16(2):101-110. doi: 10.12927/hcpol.2020.26350.

DOI:10.12927/hcpol.2020.26350
PMID:33337317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7710962/
Abstract

We surveyed Canadian rheumatologists regarding beliefs about physical therapists' (PTs) ability to refer patients appropriately to rheumatologists and whether they would accept such referrals. Most (86.9%) believed that PTs can appropriately refer to rheumatologists. However, only 48.2% of rheumatologists would be very or extremely likely to accept a referral from a PT they knew, and 23.5% would accept a referral from a PT they did not know. Conversely, 90.5% would accept a referral from a PT if they could bill it as a full consult. We conclude that being able to bill PT referrals as full consults may potentially enhance the acceptance of PT referrals.

摘要

我们调查了加拿大风湿病学家对物理治疗师(PT)适当转诊患者给风湿病学家的能力的看法,以及他们是否会接受此类转诊。大多数(86.9%)认为 PT 能够适当转诊给风湿病学家。然而,只有 48.2%的风湿病学家非常或极有可能接受他们认识的 PT 的转诊,23.5%的风湿病学家会接受他们不认识的 PT 的转诊。相反,如果 PT 的转诊可以全额计费,90.5%的风湿病学家会接受转诊。我们的结论是,能够将 PT 转诊全额计费可能会潜在地提高对 PT 转诊的接受度。

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本文引用的文献

1
Physical Therapists' Ability to Distinguish Between Inflammatory and Noninflammatory Arthritis and to Appropriately Refer Patients to a Rheumatologist.物理治疗师鉴别炎症性和非炎症性关节炎并将患者适当地转诊给风湿病学家的能力。
Arthritis Care Res (Hoboken). 2020 Dec;72(12):1747-1754. doi: 10.1002/acr.24081. Epub 2020 Nov 6.
2
Quality and continuity of information between primary care physicians and rheumatologists.基层医疗医生与风湿病专家之间信息的质量与连贯性。
BMC Rheumatol. 2019 May 24;3:1. doi: 10.1186/s41927-019-0067-6. eCollection 2019.
3
Measuring the Rheumatology Workforce in Canada: A Literature Review.加拿大风湿病学劳动力的测量:文献综述。
J Rheumatol. 2016 Jun;43(6):1121-9. doi: 10.3899/jrheum.151174. Epub 2016 Apr 1.
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Medicare rebate for specialist medical practitioners from physiotherapy referrals: analysis of the potential impact on the Australian healthcare system.针对专科医生理疗转诊的医疗保险回扣:对澳大利亚医疗体系潜在影响的分析
Aust Health Rev. 2015 Feb;39(1):12-17. doi: 10.1071/AH13196.
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Effectiveness of physical therapists serving as primary care musculoskeletal providers as compared to family practice providers in a deployed combat location: a retrospective medical chart review.在部署的战斗地点,与家庭医生相比,物理治疗师作为初级保健肌肉骨骼疾病提供者的有效性:一项回顾性病历审查。
Mil Med. 2013 Oct;178(10):1115-20. doi: 10.7205/MILMED-D-13-00066.
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Milbank Q. 2011 Jun;89(2):256-88. doi: 10.1111/j.1468-0009.2011.00628.x.
7
Dropping the baton: specialty referrals in the United States.接力棒掉落:美国的专科转诊。
Milbank Q. 2011 Mar;89(1):39-68. doi: 10.1111/j.1468-0009.2011.00619.x.
8
Long-term impact of delay in assessment of patients with early arthritis.早期关节炎患者评估延迟的长期影响。
Arthritis Rheum. 2010 Dec;62(12):3537-46. doi: 10.1002/art.27692.
9
BSPAR Standards of Care for children and young people with juvenile idiopathic arthritis.英国小儿风湿病学会青少年特发性关节炎患儿及青少年的护理标准
Rheumatology (Oxford). 2010 Jul;49(7):1406-8. doi: 10.1093/rheumatology/kep460. Epub 2010 Feb 19.
10
The Michael Mason prize: early rheumatoid arthritis--the window narrows.迈克尔·梅森奖:早期类风湿关节炎——窗口正在缩小。
Rheumatology (Oxford). 2010 Mar;49(3):406-10. doi: 10.1093/rheumatology/kep392. Epub 2009 Dec 2.