Paci Matteo, Quercioli Andrea, Natali Samuele, Bianchi Lapo, Buonandi Elisa, Rosiello Laura, Moretti Sandra
Department of Allied Health Professions, Azienda USL Toscana Centro, Florence, Italy.
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Physiother Theory Pract. 2025 Jun;41(6):1265-1273. doi: 10.1080/09593985.2024.2414242. Epub 2024 Oct 14.
The Community Physiotherapist model is an on-call service within the primary care setting, consisting of four consultations for people with chronic functional limitations. It was designed, developed and introduced as a project for the first time in Italy in 2021 and it has been shown to be effective and safe.
Given the novelty of the model, this focus group study aims to explore the perspectives of involved physiotherapists, general practitioners and medical specialists on the perceived efficiency and quality of the service. A qualitative design was used with two balanced multidisciplinary focus groups of 12 participants. The Focus groups were audio recorded and transcribed verbatim. Data were analyzed using thematic analysis.
Five themes emerged from the analysis, related to the speed of both referral and intervention, tailored interventions and perceived quality: Efficiency, Perceived quality, Project implementation, Training, and Project dissemination.
The study findings showed that the model was appreciated by the professionals involved, although some aspect about communication between professionals and with patients/caregivers, as well as some organizational aspects, needed improvement. Further research should address the perspectives of the patients/caregivers involved.
社区物理治疗师模式是基层医疗环境中的一项随叫随到服务，为有慢性功能限制的人群提供四次会诊。该模式于2021年在意大利首次作为一个项目设计、开发并引入，已被证明是有效且安全的。
鉴于该模式的新颖性，本焦点小组研究旨在探讨参与其中的物理治疗师、全科医生和医学专家对该服务的感知效率和质量的看法。采用定性设计，组建了两个由12名参与者组成的平衡多学科焦点小组。焦点小组进行了录音，并逐字转录。使用主题分析法对数据进行了分析。
分析得出了五个主题，与转诊和干预的速度、量身定制的干预措施以及感知质量相关：效率、感知质量、项目实施、培训和项目推广。
研究结果表明，该模式受到了相关专业人员的认可，尽管专业人员之间以及与患者/护理人员之间的沟通的某些方面以及一些组织方面需要改进。进一步的研究应关注相关患者/护理人员的观点。
