Patient-Reported Experiences of Musculoskeletal Virtual Care Delivered by Advanced Practice Physiotherapists

IF 0.9 4区 医学 Q4 REHABILITATION Physiotherapy Canada Pub Date : 2023-03-21 DOI:10.3138/ptc-2022-0084
L. Soever, Andrew Courchene, M. Correale, Tamara Gotal, Marsha Alvares, Emily May, C. Veillette, Y. Rampersaud
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Abstract

To better understand patients’ perspectives on virtual care (VC) delivered by advanced practice physiotherapists (APPs) for hip/knee, foot/ankle, shoulder/elbow, and low back related symptoms. A patient satisfaction questionnaire was developed and distributed electronically to all patients seen by APPs from August 1, 2020 to January 31, 2021. The questionnaire contained quantitative items using a 5-point Likert scale and open-ended questions that yielded qualitative findings. Descriptive statistics were applied to the quantitative data. Qualitative findings were analyzed using a qualitative description approach to identify recurrent themes. Response rate was 74% (374/505) across all clinics. Videoconference was the most common delivery method (91.7%). Overall satisfaction with VC was very high (4.7–4.8/5). Emergent qualitative themes were related to Personal Connection; Preparatory Materials; Virtual Physical Examination; Practical Advantages of VC; Virtual Waiting Room; and Technical Issues. Overall, across several facets including personal connection, patient experience with VC for a variety of musculoskeletal conditions was rated high. Clinically, a systematic approach to the physical examination with preparatory patient education materials was key to positive patient experience.
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由高级实践物理治疗师提供的肌肉骨骼虚拟护理的患者报告经验
为了更好地了解患者对高级物理治疗师(APP)针对髋/膝、足/踝、肩/肘和下背部相关症状提供的虚拟护理(VC)的看法。从2020年8月1日到2021年1月31日,开发了一份患者满意度问卷,并以电子方式分发给APP看到的所有患者。问卷包含使用5分Likert量表的定量项目和产生定性结果的开放式问题。定量数据采用描述性统计。使用定性描述方法对定性研究结果进行分析,以确定反复出现的主题。所有诊所的有效率为74%(374/505)。视频会议是最常见的传递方式(91.7%)。对VC的总体满意度很高(4.7-4.8/5)。突发的定性主题与个人关系有关;准备材料;虚拟体检;VC的实用优势;虚拟候诊室;和技术问题。总体而言,在包括个人关系在内的几个方面,患者对各种肌肉骨骼疾病的VC体验被评为高。在临床上,用准备好的患者教育材料进行系统的体检是获得积极患者体验的关键。
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来源期刊
Physiotherapy Canada
Physiotherapy Canada REHABILITATION-
CiteScore
1.90
自引率
20.00%
发文量
93
审稿时长
>12 weeks
期刊介绍: Physiotherapy Canada is the official, scholarly, refereed journal of the Canadian Physiotherapy Association (CPA), giving direction to excellence in clinical science and reasoning, knowledge translation, therapeutic skills and patient-centred care. Founded in 1923, Physiotherapy Canada meets the diverse needs of national and international readers and serves as a key repository of inquiries, evidence and advances in the practice of physiotherapy. Physiotherapy Canada publishes the results of qualitative and quantitative research including systematic reviews, meta analyses, meta syntheses, public/health policy research, clinical practice guidelines, and case reports. Key messages, clinical commentaries, brief reports and book reviews support knowledge translation to clinical practice. In addition to delivering authoritative, original scientific articles and reports of significant clinical studies, Physiotherapy Canada’s editorials and abstracts are presented in both English and French, expanding the journal’s reach nationally and internationally. Key messages form an integral part of each research article, providing a succinct summary for readers of all levels. This approach also allows readers to quickly get a feel for ‘what is already known’ and ‘what this study adds to’ the subject. Clinician’s commentaries for key articles assist in bridging research and practice by discussing the article’s impact at the clinical level. The journal also features special themed series which bring readers up to date research supporting evidence-informed practice. The Canadian Physiotherapy Association (CPA) is the national professional association representing almost 15,000 members distributed throughout all provinces and territories. CPA’s mission is to provide leadership and direction to the physiotherapy profession, foster excellence in practice, education and research, and promote high standards of health in Canada.
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