Education in Physiotherapy, Absalon University College, Næstved, Denmark.
Næstved Rygcenter, Næstved, Denmark.
Musculoskeletal Care. 2024 Sep;22(3):e1938. doi: 10.1002/msc.1938.
Little is known about delivering telehealth from a healthcare provider's perspective.
To investigate physiotherapists' (PTs) experiences in delivering live online exercise and education for people with knee osteoarthritis (OA).
This was a qualitative individual interview study with a thematic analysis approach. The interviewees were six PTs delivering 8 weeks of supervised online exercise and education for people with knee OA in secondary public care in Denmark.
The three main themes were (1) From hands to words-on the transition from on-site to on-line physiotherapy, (2) Online selection-on the perceived barriers to managing a telehealth service and (3) Therapeutic relation under pressure-on the contextual difficulties in building relationships and alliances in online classes.
The PTs in this study seemed to gradually come to terms with delivering first-line OA care online, appreciating advantages and new possibilities. PTs' initial apprehension towards this new form of physiotherapy service may be rooted in the traditional conception of physiotherapy as a predominantly manual profession but also in a lack of formal training in physiotherapy telehealth services. This study underlines the growing need for better and more formalised training in physiotherapy telehealth services to meet growing demands.
对于医疗服务提供者提供远程医疗服务的相关内容，我们知之甚少。
调查理疗师为膝关节骨关节炎患者提供在线运动和教育的实际体验。
本研究采用个体定性访谈法和主题分析法，参与者为丹麦二级公共医疗机构中 6 名提供 8 周在线监督运动和教育的理疗师。
三个主要主题为：（1）从手到口——从现场治疗到在线治疗的转变；（2）在线选择——远程医疗服务管理中感知到的障碍；（3）在压力下建立治疗关系——在网络课程中建立关系和联盟的实际困难。
本研究中的理疗师似乎逐渐接受了在线治疗的一线骨关节炎护理，对其优势和新的可能性表示赞赏。理疗师对这种新形式的物理治疗服务的初步担忧可能源于物理治疗作为一种主要的手工职业的传统观念，也可能源于缺乏物理治疗远程医疗服务的正规培训。本研究强调了对物理治疗远程医疗服务进行更好和更正规培训的迫切需求，以满足日益增长的需求。
