Acceptability of physiotherapists as primary care practitioners for the care of people with musculoskeletal disorders: a French population-based cross-sectional survey

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy Pub Date : 2024-11-13 DOI:10.1016/j.physio.2024.101453

A. Demont , R. Vervaeke , S. Lafrance , F. Desmeules , A. Dumas , A. Bourmaud

{"title":"Acceptability of physiotherapists as primary care practitioners for the care of people with musculoskeletal disorders: a French population-based cross-sectional survey","authors":"A. Demont , R. Vervaeke , S. Lafrance , F. Desmeules , A. Dumas , A. Bourmaud","doi":"10.1016/j.physio.2024.101453","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Design</h3><div>French population-based cross-sectional survey.</div></div><div><h3>Participants</h3><div>A representative sample of the French adult population was surveyed between June 2020 and September 2021.</div></div><div><h3>Outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>n</em> = 823, 82%); of these, 762 (91%) were satisfied with care received.</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Contribution of Paper</h3><div><ul><li><span>•</span><span><div>Physiotherapists were considered competent as primary care practitioners.</div></span></li><li><span>•</span><span><div>Participants were satisfied with previous physiotherapy received.</div></span></li><li><span>•</span><span><div>Our results support the implementation of direct access physiotherapy in France.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101453"},"PeriodicalIF":3.1000,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0031940624004620","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

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.

Design

French population-based cross-sectional survey.

Participants

A representative sample of the French adult population was surveyed between June 2020 and September 2021.

Outcome measures

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.

Results

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.

Conclusion

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

•
Physiotherapists were considered competent as primary care practitioners.
•
Participants were satisfied with previous physiotherapy received.
•
Our results support the implementation of direct access physiotherapy in France.

查看原文本刊更多论文

可接受的物理治疗师作为初级保健从业者的护理与肌肉骨骼疾病的人：法国人口为基础的横断面调查

在法国，在医生主导的护理模式下，肌肉骨骼疾病（mskd）患者早期获得物理治疗取决于处方和家庭医生的转诊。目前尚不清楚法国人是否愿意直接接受物理治疗。这项调查旨在确定法国成年人对物理治疗师诊断和管理mskd的能力的看法，如果他们是初级保健从业人员，对他们提供高质量护理的能力的信心，以及对有关人员最后一次护理的满意度；并找出与这三个变量相关的因素。设计以法国人口为基础的横断面调查。在2020年6月至2021年9月期间，对法国成年人口的代表性样本进行了调查。结果测量收集的变量包括以前的物理治疗经验、作为初级保健医生诊断和管理mskd的能力感知、对护理质量的信心和自我转诊偏好。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。结果共有1000名参与者完成了调查；854名（85%）认为物理治疗师是合格的初级保健从业人员，920名（92%）对护理质量有信心。大多数患者之前曾咨询过物理治疗师（n = 823,82%）；其中，762人（91%）对所接受的护理感到满意。结论：这个大样本的法国成年人认为物理治疗师有能力诊断和治疗一些mskd，作为初级保健从业人员，他们提供了高质量的护理。进一步的研究应该调查直接进入物理治疗模式的护理范围、安全性和有效性。•物理治疗师被认为是胜任初级保健从业人员。•参与者对先前接受的物理治疗感到满意。•我们的结果支持在法国实施直接获取物理治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Physiotherapy 医学-康复医学

CiteScore

6.40

自引率

3.00%

发文量

377

审稿时长

82 days

期刊介绍： Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy. We are pleased to receive articles reporting original scientific research, systematic reviews or meta-analyses, theoretical or debate articles, brief reports and technical reports. All papers should demonstrate methodological rigour.