Advanced practice physiotherapists in primary health care: stakeholders' views of a new scope of practice.

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of primary health care Pub Date : 2024-06-01 DOI:10.1071/HC24029
Gill Stotter, Eileen McKinlay, Ben Darlow
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Abstract

Introduction Advanced and extended primary health care practice roles have been developed in Aotearoa New Zealand (NZ) for dietetics, nursing, pharmacy, and physiotherapy professions. Advanced musculoskeletal physiotherapy roles in primary health care could address escalating health care costs, challenges to workforce sustainability and inefficient primary/secondary care interfaces. Little is known about how stakeholders perceive the recently introduced Advanced Practice Physiotherapist (APP) scope of practice. Aim This study aimed to explore health professionals' perceptions of the APP scope of practice in NZ and how APPs could influence physiotherapy service delivery for people with musculoskeletal conditions in primary health care. Methods Qualitative, face-to-face, semi-structured interviews were conducted with 15 participants including physiotherapists, general practitioners, medical specialists and Accident Compensation Corporation case managers. Inductive interpretive analysis was undertaken. Results Five themes were identified: perceptions of current musculoskeletal management in primary health care; lack of a career pathway; ways in which APPs might facilitate change and what their role would be; characteristics of an APP; and the implementation of the APP role into practice. Discussion Stakeholders were supportive of the APP scope of practice and thought it has the potential to improve patient pathways, health care delivery and health outcomes for those with musculoskeletal conditions. Stakeholders also thought it would fill an important gap in the physiotherapy clinical career pathway. Successful implementation will require assessment of applicants' personal attributes as well as clinical experience and academic qualifications to ensure all stakeholders have confidence to engage with the service, clear communication, active promotion and specific funding.

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初级医疗保健中的高级物理治疗师:利益相关者对新执业范围的看法。
导言:在新西兰奥特亚罗瓦(NZ),营养学、护理、药学和物理治疗专业已经发展出高级和扩展的初级医疗保健实践角色。初级医疗保健中的高级肌肉骨骼物理治疗角色可以解决医疗保健成本上升、劳动力可持续性面临挑战以及初级/中级医疗保健接口效率低下等问题。对于利益相关者如何看待最近推出的高级实践物理治疗师(APP)的执业范围,我们知之甚少。本研究旨在探讨新西兰医疗专业人员对APP执业范围的看法,以及APP如何影响初级医疗机构为肌肉骨骼疾病患者提供的物理治疗服务。研究方法 对物理治疗师、全科医生、医学专家和事故赔偿公司个案经理等 15 名参与者进行了定性、面对面、半结构化访谈。对访谈内容进行了归纳解释性分析。结果 确定了五个主题:对当前初级医疗保健中肌肉骨骼管理的看法;缺乏职业发展途径;APP促进变革的方式及其作用;APP的特点;以及将APP角色落实到实践中。讨论 各利益相关者对APP的执业范围表示支持,并认为它有可能改善患者的就医途径、医疗服务的提供以及肌肉骨骼疾病患者的健康状况。利益相关者还认为,它将填补物理治疗临床职业途径中的一个重要空白。要成功实施该计划,需要对申请者的个人素质、临床经验和学历进行评估,以确保所有利益相关者都有信心参与这项服务,还需要清晰的沟通、积极的宣传和专项资金的支持。
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来源期刊
Journal of primary health care
Journal of primary health care PRIMARY HEALTH CARE-
CiteScore
2.70
自引率
16.70%
发文量
79
审稿时长
28 weeks
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