Demont A, Vervaeke R, Lafrance S, Desmeules F, Dumas A, Bourmaud A
Université Paris Cité, Inserm, ECEVE, F-75010 Paris, France; INSERM UMR-S 1153, Centre de Recherche Épidémiologique et Statistique Sorbonne Paris Cité, Paris, France; AP-HP, Clinical Epidemiology Unit, INSERM CIC 1426, Hopital Robert Debré, Paris, France.
AP-HP, Clinical Epidemiology Unit, INSERM CIC 1426, Hopital Robert Debré, Paris, France.
Physiotherapy. 2025 Mar;126:101453. doi: 10.1016/j.physio.2024.101453. Epub 2024 Nov 13.
In France, early access to physiotherapy for people with musculoskeletal disorders (MSKDs) depends on prescription and referral by the family physician in the physician-led model of care. The readiness of French people for direct access to physiotherapy is not known. This survey aims to identify the perceptions of French adults regarding physiotherapists' competence to diagnose and manage MSKDs if they were primary care practitioners, confidence in their ability to provide quality care, and satisfaction with the last episode of care for those concerned; and to identify factors associated with these three variables.
French population-based cross-sectional survey.
A representative sample of the French adult population was surveyed between June 2020 and September 2021.
Collected variables included previous physiotherapy experience, perception of competence to diagnose and manage MSKDs as primary care practitioners, confidence about quality of care, and self-referral preferences. Multivariate logistic regression analyses were performed to identify the factors associated with these three variables.
A total of 1000 participants completed the survey; 854 (85%) believed that physiotherapists would be competent primary care practitioners, and 920 (92%) were confident about the quality of care. Most had previously consulted a physiotherapist (n = 823, 82%); of these, 762 (91%) were satisfied with care received.
This large sample of French adults considered physiotherapists as competent to diagnose and treat some MSKDs as primary care practitioners, and that they provided quality care. Further studies should investigate the scope of care, safety, and efficacy of a direct access physiotherapy model. CONTRIBUTION OF PAPER.
在法国，肌肉骨骼疾病（MSKDs）患者能否早期获得物理治疗取决于在以医生为主导的护理模式下家庭医生的处方和转诊。法国人对直接获得物理治疗的意愿尚不清楚。本调查旨在确定法国成年人对物理治疗师作为初级保健从业者诊断和管理MSKDs能力的看法、对其提供高质量护理能力的信心，以及对相关患者上次护理经历的满意度；并确定与这三个变量相关的因素。
基于法国人群的横断面调查。
在2020年6月至2021年9月期间对法国成年人群的代表性样本进行了调查。
收集的变量包括以前的物理治疗经历、对物理治疗师作为初级保健从业者诊断和管理MSKDs能力的看法、对护理质量的信心以及自我转诊偏好。进行多变量逻辑回归分析以确定与这三个变量相关的因素。
共有1000名参与者完成了调查；854人（85%）认为物理治疗师有能力成为初级保健从业者，920人（92%）对护理质量有信心。大多数人以前咨询过物理治疗师（n = 823，82%）；其中，762人（91%）对所接受的护理感到满意。
这个来自法国成年人的大样本认为物理治疗师有能力作为初级保健从业者诊断和治疗某些MSKDs，并且他们提供了高质量的护理。进一步的研究应该调查直接获得物理治疗模式的护理范围、安全性和有效性。论文贡献。
