School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Centre for the Business and Economics of Health, The University of Queensland, Brisbane, Queensland, Australia.
Physiother Res Int. 2022 Jan;27(1):e1929. doi: 10.1002/pri.1929. Epub 2021 Oct 31.
The sustainability of physiotherapy clinical placements is an ongoing challenge, yet there is potential to increase placement capacity within the private practice sector. Barriers to hosting students, including perceived impacts on patient care, reportedly limit the uptake of hosting students within this setting. This study aimed to evaluate the effect of physiotherapy student involvement on patient-reported Global Rating of Change (GRoC) in Australian physiotherapy private practice care.
A cross-sectional, patient survey study was conducted in three private physiotherapy practices over two 5-week periods. At their completion of care, participants completed the survey seeking demographic information, GRoC and aspects of care including number of consultations involving students, proportion of physiotherapy time involving students and frequency of student involvement in treatment delivery. After accounting for clinic-level differences, ordinal logistic regression analyses were performed to explore the impact of supervised student care on GRoC.
119 participants across three practices completed the survey. There were no significant associations between patient-reported GRoC and: (1) student involvement in patient care; (2) number of consultations involving students; (3) proportion of physiotherapy time involving students; or (4) frequency of student involvement in treatment delivery (p > 0.05).
Supervised student care in private physiotherapy practice does not appear to have a detrimental impact on patient-reported outcomes. These findings may address concerns relating to student involvement in patient care within this setting. Future research should address economic and service delivery impacts of supervised student care on private practices.
物理治疗临床实习的可持续性是一个持续存在的挑战，但在私人执业领域增加实习岗位的潜力是存在的。据报道，在这种环境下，阻碍接纳学生的因素包括对患者护理的影响，限制了在这一环境中接纳学生的机会。本研究旨在评估物理治疗学生参与对澳大利亚私人执业物理治疗护理中患者报告的全球变化总评（GRoC）的影响。
在三个私人物理治疗诊所进行了横断面、患者调查研究，共进行了两个 5 周的阶段。在治疗结束时，参与者完成了调查，调查内容包括人口统计学信息、GRoC 以及护理方面的信息，包括涉及学生的咨询次数、涉及学生的物理治疗时间比例以及学生参与治疗的频率。在考虑到诊所水平差异后，进行了有序逻辑回归分析，以探讨监督学生护理对 GRoC 的影响。
三个诊所共有 119 名参与者完成了调查。患者报告的 GRoC 与以下方面均无显著相关性：（1）学生参与患者护理；（2）涉及学生的咨询次数；（3）涉及学生的物理治疗时间比例；或（4）学生参与治疗的频率（p>0.05）。
私人物理治疗实践中的监督学生护理似乎不会对患者报告的结果产生不利影响。这些发现可能解决了与学生在该环境中参与患者护理有关的问题。未来的研究应解决监督学生护理对私人执业的经济和服务提供影响。
