A master thesis from Aalborg University
Fysioterapeuter i almen praksis - Et uforløst potentiale
[Physiotherapists in General Practice - An untapped potential]
Forfatter(e)
Semester
4. semester
Udgivelsesår
2021
Afleveret
2021-06-01
Antal sider
51 pages
Abstract
Background: There is a growing demand for general practitioners (GP) in Denmark. One way to accommodate the demand of GPs is to implement physiotherapists as a first point of contact for patients with musculoskeletal (MSK) complaints. However, the quality of this model of care has not yet been investigated in a Danish setting. The aim of this project is to evaluate the quality of a first point of contact physiotherapists providing MSK care, as an alternative to GPs in a Danish setting. Method: A retrospective journal audit was conducted using medical records, and a separate consecutive non-randomised study of patient satisfaction of patients visiting a Danish primary healthcare centre in the period 01.11.2020 – 04.03.2021. Additionally, a systematic literature search was carried out in March 2021 (PubMed, CINAHL and EMBASE) to identify relevant outcomes the journal audit and patient satisfaction study was not able to. The overall outcomes were: The ability to diagnose the problem, number of referrals, patient satisfaction, missed serious pathology/adverse events, work-related sick leave, function, pain, and health-related quality of life. Results: Journal audits from 186 patients with MSK complaints were available for analysis. A subgroup of 98 patients answered a patient satisfaction questionnaire. The results indicated an acceptable diagnostic ability and an acceptable patient satisfaction. The number of referrals were higher compared to the standard and therefore considered unacceptable. Six studies met the eligibility criteria and indicated that there was no difference between physiotherapists and GPs regarding missed serious pathology or adverse events. Patients accessed by a physiotherapist were overall less likely to report work-related sick leave compared to those accessed by a GP. There were no differences in function, pain, or quality of life between patients consulted by a physiotherapist or a GP. Conclusion: It appears that physiotherapists as a primary contact are able to manage patients with MSK complaints in a Danish general practice. Due to varying methodological quality, the results of the thesis report should be interpreted with caution.
Emneord
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