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在澳大利亚私人诊所中接待预注册物理治疗学生不会改变服务和经济结果;经济分析。

Hosting pre-registration physiotherapy students in Australian private practices does not change service and economic outcomes; an economic analysis.

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Qld, 4072, Australia.

Centre for the Business and Economics of Health, The University of Queensland, St Lucia, Brisbane, Qld, 4072, Australia.

出版信息

Musculoskelet Sci Pract. 2021 Apr;52:102318. doi: 10.1016/j.msksp.2021.102318. Epub 2021 Jan 9.

Abstract

BACKGROUND

Despite perceived economic barriers to hosting physiotherapy students in private practice settings, no research to date has investigated the effect of hosting students on service delivery and income during clinical placements.

OBJECTIVES

The aim of this study was to determine the effect of student placement provision on service delivery and income in private practice settings.

METHODS

A retrospective economic analysis using a temporal synthetic control period was undertaken. Physiotherapy private practices who had hosted at least one pre-registration physiotherapy student with a matched control period in the subsequent or previous year were invited to participate. Direct service and economic comparisons were conducted across five-week periods and individual placement weeks.

RESULTS

No significant differences in occasions of service and income were found when students were hosted and not hosted, and this remained non-significant after controlling for practice-specific characteristics. The overall mean income per practice was higher for week one of the student placement (95% CI: 657.35 to 1240.95) as compared to week one of the control period, but this finding was not significant. Overall mean income per practice was significantly higher in weeks two to five of the student placement (95% CI: 29.03 to 1732.19) when compared to weeks two to five of the control period.

CONCLUSION

Hosting pre-registration physiotherapy students within private practice settings is not associated with a reduction in service and economic outcomes. Hosting physiotherapy students has a positive economic effect following their initial placement week.

摘要

背景

尽管在私人执业环境中接待物理治疗学生存在经济障碍,但迄今为止,没有研究调查过在临床实习期间接待学生对服务提供和收入的影响。

目的

本研究旨在确定在私人实践环境中提供学生实习对服务提供和收入的影响。

方法

采用时间合成对照期的回顾性经济分析。邀请在随后或前一年至少接待过一名注册前物理治疗学生的物理治疗私人诊所参与。在五个星期的周期和个别实习周内进行直接服务和经济比较。

结果

在接待和不接待学生的情况下,服务次数和收入均无显著差异,在控制特定实践特征后,这一结果仍然不显著。与对照期相比,学生实习第一周的每个实践平均收入(95%CI:657.35 至 1240.95)更高,但这一发现并不显著。与对照期相比,学生实习的第二周到第五周的每个实践平均收入(95%CI:29.03 至 1732.19)显著更高。

结论

在私人执业环境中接待注册前物理治疗学生并不会导致服务和经济结果下降。在学生初始实习周之后,接待物理治疗学生具有积极的经济影响。

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