A Snapshot of Hip and Knee Replacement Rehabilitation Care Across Canada: A Cross-Sectional Survey Using an Online Clinician Quality Indicator Questionnaire

IF 0.9 4区医学 Q4 REHABILITATION Physiotherapy Canada Pub Date : 2023-03-20 DOI:10.3138/ptc-2022-0083

M. Westby, Jean-François Lalande, C. Koehn, N. Johal

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Abstract

To determine usability, feasibility, and reliability of an online questionnaire to assess clinicians’ adherence to 10 postacute rehabilitation quality indicators (QIs) for total hip (THR) and knee replacement (TKR) and explore current rehabilitation practices across Canada. Following usability testing with clinicians in BC and Quebec, we recruited rehabilitation clinicians across Canada to complete the online survey. Respondents rated adherence (past 3 months), importance, and feasibility for 10 QIs. We resent the survey 2–3 weeks later (test–retest reliability). Based on usability testing, we made minor changes in wording, altered response options, and created a French language version. In total, 238 clinicians completed all or parts of the English ( n = 123) and French ( n = 115) questionnaires. Respondents mostly practiced in the public sector (88%) and outpatient settings (42%). On average, clinicians met (“always” or “often” response) 23.3% (SD 13.7%, 95% CI 21.1, 25.4) of THR and 25.5% (SD 15.1%, 95% CI 23.0, 27.9) of TKR indicators. There were mixed views on the importance and feasibility of the QIs. Varied rehabilitation formats, duration, and dosage were described. Canadian rehabilitation clinicians report low overall adherence to THR and TKR rehabilitation QIs and differing rehabilitation approaches and models of care.

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加拿大髋关节和膝关节置换术康复护理概况:一项使用在线临床医生质量指标问卷的横断面调查

确定在线问卷的可用性、可行性和可靠性，以评估临床医生对全髋关节(THR)和膝关节置换术(TKR)的10个急性后康复质量指标(QIs)的依从性，并探讨加拿大目前的康复实践。在不列颠哥伦比亚省和魁北克省的临床医生进行可用性测试后，我们招募了加拿大各地的康复临床医生来完成在线调查。受访者对10个QIs的依从性(过去3个月)、重要性和可行性进行了评分。我们在2-3周后重新接受调查(重测信度)。基于可用性测试，我们在措辞上做了一些小改动，改变了回答选项，并创建了一个法语版本。总共有238名临床医生完成了全部或部分英语(n = 123)和法语(n = 115)问卷。受访者大多在公共部门(88%)和门诊机构(42%)执业。平均而言，临床医生达到(“总是”或“经常”反应)23.3% (SD 13.7%， 95% CI 21.1, 25.4)的THR和25.5% (SD 15.1%， 95% CI 23.0, 27.9)的TKR指标。对于质量指标的重要性和可行性，意见不一。描述了不同的康复形式、持续时间和剂量。加拿大康复临床医生报告THR和TKR康复QIs的总体依从性较低，康复方法和护理模式不同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Canada REHABILITATION-

CiteScore

1.90

自引率

20.00%

发文量

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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