运动康复与跨专业合作

Nicholas B. Washmuth, J. Sepich, A. McAfee
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摘要

背景:由于医疗保健系统的优先事项不断变化,对跨专业合作的需求持续增长。跨专业合作的好处有据可查;然而,合作的方法往往不明确,而且往往难以付诸实践。尽管越来越多的研究表明,在住院、重症监护室和急性护理等环境中,跨专业合作的影响,但在门诊骨科私人诊所环境中,关于物理治疗患者的跨专业管理的案例有限。目的:本文的目的是描述物理治疗师和运动教练在跨专业合作经验中的反思,描述他们所经历的使跨专业合作具有挑战性的障碍,并为这些障碍提供解决方案。论文中讨论的障碍包括对其他专业人员技能的了解和尊重有限、高生产力的工作环境、医疗等级制度、知识体系重叠、专业推理之间的差异、地域行为和无效沟通。讨论:似乎背景因素,如专业人员执业的社区、医疗环境和执业环境,对成功合作的影响远不如专业人员对合作努力的态度和投资重要。结论:如果不克服这些障碍,PT和AT之间的合作可能会导致权力斗争和次优的患者护理,而合作可能是提供最高质量患者护理所必需的。
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Sports Rehabilitation and Interprofessional Collaboration
Background: The demand for interprofessional collaboration continues to grow due to changing priorities of the health care system.  The benefits of interprofessional collaboration are well documented; however, the methods of collaboration are often unclear and often difficult to put into practice.  While there is a growing number of studies on the impact of interprofessional collaboration in settings such as inpatient, intensive care units, and acute care, there are limited documented cases regarding the interprofessional management of a physical therapy patient in the outpatient orthopedic private practice setting.   Purpose: The purpose of this paper is to describe the reflections of a physical therapist and an athletic trainer in their experience with interprofessional collaboration, describe the barriers they have experienced that make interprofessional collaboration challenging, and to offer solutions to these barriers.  The barriers discussed in the paper include limited knowledge of and respect for other professionals’ skill set, high-productivity work environments, medical hierarchy, overlapping bodies of knowledge, discrepancy between professional reasoning, territorial behavior, and ineffective communication.  Discussion: It appears that contextual factors, such as community in which the professionals practice, the healthcare setting, and the practice environment, have a far less important impact to successful collaboration than the professionals’ attitudes and investment in the collaborative efforts.  Conclusion: Collaboration between a PT and an AT can lead to power struggles and suboptimal patient care if these barriers are not overcome and collaboration may be necessary to provide the highest quality of patient care.
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