通过物理治疗师实践中的公共卫生方法解决获得医疗服务的差距问题

IF 3.5 4区 医学 Q1 ORTHOPEDICS Physical Therapy Pub Date : 2024-09-17 DOI:10.1093/ptj/pzae136
Jessica McKinney, Nicole Kelm, Brett Windsor, Laura E Keyser
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引用次数: 0

摘要

随着这一领域作为医生职业的发展,理疗师的作用和执业范围也必须扩大,以满足重要而紧迫的公共卫生需求。可扩展的、人群层面的干预措施必须与量身定制的、个人层面的护理同等重要。本视角借鉴公共卫生框架,提出了一种提供人群级理疗师护理的方法,旨在通过为面临最大健康差异的人群扩大获取途径、降低成本和提高护理质量来减轻疾病和残疾,并改善健康状况。这些框架的应用促使我们开发出新的康复服务提供方法,以推进促进获得医疗服务和减少健康差距的双重目标。本文介绍了如何利用人口健康框架和公共卫生方法来支持物理治疗领域的必要发展和创新,并改善康复服务的提供。数字和虚拟健康领域的快速发展为物理治疗师创造了一个独特的机会,使他们能够在更广泛的健康生态系统中以新的视角看待自己作为临床医生的角色。本文将从更广阔的视角向临床医生介绍理疗师的专业知识,并描述发展和应用理疗师技能集以推动人口健康成果的机遇。真实世界的例子将引导临床医生考虑在自己的实践中实施这种公共卫生方法的机会,并有可能解决造成持续健康差异的各种因素。
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Addressing Health Care Access Disparities Through A Public Health Approach to Physical Therapist Practice
As the field evolves as a doctoring profession, the role and scope of physical therapist practice must also grow to meet important and urgent public health needs. Scalable, population-level interventions must be prioritized to the same degree as tailored, individual level care. Drawing from public health frameworks, this Perspective proposes an approach to population-level physical therapist care delivery that aims to mitigate disease and disability and improve health outcomes by expanding access, decreasing cost, and improving quality of care for those facing the greatest health disparities. Application of these frameworks prompts the development of novel approaches to rehabilitation service delivery to advance twin goals of promoting access to care and reducing health disparities. This paper describes how a population health framework and public health approach can be used to support necessary evolution and innovation within the field of physical therapy and to improve rehabilitation service delivery. Rapid developments in the digital and virtual health space have created a unique opportunity for physical therapists to lean into a new vision of their role as clinicians within the broader health ecosystem. This paper will provide clinicians with a broader perspective of physical therapist expertise and describe opportunities for the development and application of a physical therapist skill set towards driving population health outcomes. Real-world examples will guide clinicians to consider opportunities in their own practice for implementing this public health approach and potentially addressing various contributors to persistent health disparities.
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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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