Promoting effective interprofessional collaborative practice in the primary care setting: recommendations from Queensland physiotherapy private practitioners.

Jack Seaton, Anne Jones, Catherine Johnston, Karen Francis
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Abstract

Background: Physiotherapy private practitioners represent a growing proportion of Australia's primary care workforce; however, they face significant barriers in integrating seamlessly within interprofessional teams. Historically, the landscape of primary care in Australia has been one where many physiotherapists work in monoprofessional private practice facilities at dispersed locations, potentially limiting collaborative and coordinated care. The aim of this study was to investigate strategies recommended by physiotherapists to promote effective interprofessional collaborative practice (IPCP) within the Australian private practice setting.

Methods: Using interpretive description as the guiding methodological framework, semi-structured interviews were conducted with 28 physiotherapists in 10 private practice sites in Queensland, Australia.

Results: Data analysis produced three themes that characterised physiotherapy private practitioners' recommendations to improve IPCP: (a) the need for improved funding and compensation, particularly addressing the limitations of the Medicare Chronic Disease Management program; (b) the development of integrated and secure digital communication systems to facilitate better information exchange; and (c) prioritising professional development and training to enhance collaboration.

Conclusions: This research lays the groundwork for informed policy making to advance person-centred care and support the integration of services in the Australian healthcare system. The findings from this study indicate that promoting effective IPCP in physiotherapy private practice requires a comprehensive strategy that addresses systemic funding and compensation issues, enhances digital communication systems and optimises interprofessional education and training.

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促进基层医疗机构中有效的跨专业合作实践:昆士兰物理治疗私人执业医师的建议。
背景:物理治疗私人执业医师在澳大利亚初级医疗队伍中所占的比例越来越大;然而,他们在跨专业团队中实现无缝整合时却面临着巨大障碍。从历史上看,在澳大利亚的初级医疗机构中,许多物理治疗师都是在地点分散的单专业私人诊所工作,这可能会限制协作和协调医疗服务的开展。本研究旨在调查物理治疗师推荐的策略,以促进澳大利亚私人诊所环境中有效的跨专业合作实践(IPCP):方法:以解释性描述为指导方法框架,对澳大利亚昆士兰州 10 个私人诊所的 28 名物理治疗师进行了半结构化访谈:通过数据分析,物理治疗私人执业医师对改善 IPCP 的建议有三个主题:(a)需要改善资金和补偿,特别是解决医疗保险慢性病管理计划的局限性;(b)开发集成安全的数字通信系统,以促进更好的信息交流;以及(c)优先考虑专业发展和培训,以加强合作:本研究为制定明智的政策奠定了基础,以推进以人为本的护理,支持澳大利亚医疗保健系统的服务整合。本研究的结果表明,要在物理治疗私人诊所中促进有效的 IPCP,就必须采取全面的战略,解决系统性的资金和补偿问题,加强数字通信系统,优化跨专业教育和培训。
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