使用临床小插曲描述法国肌肉骨骼疾病自我转诊患者的理疗师在诊断假设和管理决策方面的能力:一项横断面调查。

IF 1.5 Q3 RHEUMATOLOGY
Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-10-30 DOI:10.1002/msc.1836
Hermine Vignaud, Constance Molins, Clara Legaux, Anouchka Slusznis, François-Régis Sarhan, Anthony Demont
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引用次数: 0

摘要

背景:一些国家已经开始直接获得物理治疗。在法国,医疗保健系统正朝着引入的方向发展;然而,没有研究描述物理治疗师在这方面的能力。目的:描述在法国执业的物理治疗师利用临床小插曲制定正确诊断假设和做出适当管理决策的能力。方法:使用预先存在的经验证的临床小插曲,并将其整合到数字问卷中。正确答案的百分比是根据诊断假设的选择和管理决策的结果计算出来的,无论是总体还是三种不同的患者类别:肌肉骨骼、非危重医学和危重医学。结果:4882名参与者(1.7%)对该研究做出了回应。对于诊断假设的制定,肌肉骨骼、非关键医学和关键医学类别的正确答案分别为43.0%(415/964)、26.6%(128/482)和17.8%(86/482)。对于管理决策,同一类别的正确答案分别为60.8%(586/964)、61.6%(297/482)和85.1%(410/482)。结论:我们与管理决策相关的结果优于诊断假设的结果,尤其是在危重医学类别中。仍有改进的余地。通过使用更多在法国背景下验证的临床小插曲来支持这项初步研究可能会很有趣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Description of the abilities of physiotherapists in terms of diagnostic hypothesis and management decision for self-referred patients with musculoskeletal disorders in France using clinical vignettes: A cross-sectional survey.

Background: Direct access to physiotherapy has been introduced in several countries. In France, the healthcare system is evolving towards its introduction; however, no study has described the ability of physiotherapists in this context.

Objective: To describe the ability of physiotherapists practicing in France to formulate correct diagnostic hypotheses and make appropriate management decisions using clinical vignettes.

Methods: Pre-existing validated clinical vignettes were used and integrated into a numerical questionnaire. The percentages of correct answers were calculated from the results concerning the choice of diagnostic hypothesis and the management decision, both overall and for the three different patient categories: musculoskeletal, non-critical medical, and critical medical.

Results: Four hundred eighty-two participants (1.7%) responded to the study. For the formulation of a diagnostic hypothesis, there were 43.0% (415/964), 26.6% (128/482), and 17.8% (86/482) correct answers respectively for the musculoskeletal, non-critical medical, and critical medical categories. For management decisions, there were 60.8% (586/964), 61.6% (297/482), and 85.1% (410/482) correct answers respectively for the same categories.

Conclusions: Our results related to the management decision were better than those for the diagnostic hypothesis, especially for the critical medical category. There is still room for improvement. It might be interesting to support this initial study by using more clinical vignettes validated in a French context.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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