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Evaluation of physiotherapists as primary assessors of patients with musculoskeletal disorders seeking primary health care
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Primary Health Care in Motala.ORCID iD: 0000-0002-3259-3133
Linköping University, Department of Medical and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-3707-5869
2012 (English)In: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 98, no 2, 131-137 p.Article in journal (Refereed) Published
Abstract [en]

Objectives To evaluate primary physiotherapist assessment and management of patients with musculoskeletal disorders in primary care, and to compare patient satisfaction with primary assessment by a physiotherapist or a general practitioner (GP). less thanbrgreater than less thanbrgreater thanDesign An observational, retrospective cohort study reviewing medical records, and a separate consecutive non-randomised study of patient satisfaction. less thanbrgreater than less thanbrgreater thanSetting Primary healthcare centre. less thanbrgreater than less thanbrgreater thanParticipants Four hundred and thirty-two patients with musculoskeletal disorders, primarily assessed by a physiotherapist. Fifty-one of these patients primarily assessed by a physiotherapist and 42 patients assessed by a GP answered a patient satisfaction questionnaire. less thanbrgreater than less thanbrgreater thanInterventions Primary assessment and management of patients with musculoskeletal disorders. less thanbrgreater than less thanbrgreater thanMain outcome measures Data from medical records within 3-month after the visit, and patient satisfaction questionnaire. less thanbrgreater than less thanbrgreater thanResults Eighty-five percent (367/432) of patients did not need to see a GP. Serious pathologies were found among the 6% (26/432) of patients who were referred to a GP by a physiotherapist, but no serious pathologies were found among the 9% (39/432) of patients who subsequently returned for a GP appointment for the same disorder. Patients assessed by a physiotherapist were more satisfied with the information received about their disorder and self-care than patients assessed by a GP. Patients also had higher confidence in the ability of physiotherapists to assess their disorder (P andlt; 0.002). less thanbrgreater than less thanbrgreater thanConclusion Physiotherapists can be considered primary assessors of patients with musculoskeletal disorders in primary care as few patients needed additional assessment by a GP, patients with confirmed serious pathologies were identified by the physiotherapists, and patients were satisfied with assessment by a physiotherapist.

Place, publisher, year, edition, pages
Elsevier , 2012. Vol. 98, no 2, 131-137 p.
Keyword [en]
Physiotherapy, Primary health care, Musculoskeletal, General practitioner, Patient satisfaction, Direct access
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-77318DOI: 10.1016/j.physio.2011.04.354ISI: 000302864100006OAI: oai:DiVA.org:liu-77318DiVA: diva2:526367
Note

Funding Agencies|County Council of Ostergotland, Sweden||

Available from: 2012-05-11 Created: 2012-05-11 Last updated: 2017-12-07Bibliographically approved

Open Access in DiVA

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