scholarly journals Access to Physical Therapy Services Among Medically Underserved Adults: A Mixed-Method Study

2010 ◽  
Vol 90 (5) ◽  
pp. 735-747 ◽  
Author(s):  
Christine A. McCallum
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Health Care Providers ◽  
Mixed Method ◽  
Physical Therapist ◽  
Medically Underserved ◽  
Care Providers ◽  
Health Care Clinics ◽  
Therapy Services ◽  
Physical Therapy Services

Background and Objectives This mixed-method case study examined access issues related to physical therapy services among medically underserved adults within an Ohio community. Design Three community health care clinics served as the units of analysis. Methods Eleven health care providers and 110 patients participated in the study, and documents from local, state, and national resources were reviewed. Results Results revealed that structural, utilization of care, and outcome barriers existed. A lack of accessible physical therapy providers for medically underserved adults and a lack of standardized screening or assessment processes to identify physical mobility problems among people with chronic health conditions were found. Inadequate knowledge about the full scope of physical therapist practice existed, which may impede access to those individuals most in need of services. Conclusions Opportunities are present for physical therapist involvement in screening, wellness and prevention, consultation, education, and program development among medically underserved adults. However, challenges exist due to a lack of human and financial resources and the current structure of our health care system, which focuses on acute and chronic care rather than prevention.

scholarly journals Reaching the Masses: Physical Therapist Students Learn to Use YouTube to Share Clinical Information with Patients and the Public

2010 ◽  
Author(s):  
Wayne Moore
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Health Care Providers ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Clinical Skill ◽  
Care Providers ◽  
Physical Therapist Students ◽  
Educational Videos ◽  
Students Attitudes

Purposes: This pilot study (1) assessed physical therapist students’ attitudes toward using YouTube to share health-related videos on the Internet, and (2) determined whether a cohort of physical therapist students would use YouTube, or similar technologies, to share educational information with other health care providers and health care consumers once they enter practice. Methods: A cohort of 28-second-year Doctor of Physical Therapy students completed a project to produce and share educational videos on YouTube. Students, working in small groups, selected a clinical skill introduced and practiced during the Cardiopulmonary Physical Therapy course as the focus of their videos. A survey completed at the conclusion of the project collected data about students’ attitudes and experiences regarding the use of YouTube. Results: Tabulation of students’ responses revealed that 85% of the students enjoyed making videos and 96% of the students felt that physical therapists should share physical therapy-related information with the largest possible audience. Nineteen percent of the students reported that they are likely to share additional videos online. Conclusion:YouTube and other online video sites allow physical therapists to reach a large audience of people interested in the services and education they provide. However, some students may be reluctant to take advantage of this relatively new technology. Future research may focus on the relationship between the obligation students feel to produce educational videos and their reported reluctance to produce educational videos once they enter clinical practice.

scholarly journals Blood Pressure Screening by Outpatient Physical Therapists: A Call to Action and Clinical Recommendations

2020 ◽  
Vol 100 (6) ◽  
pp. 1008-1019
Author(s):  
Richard Severin ◽  
Ahmad Sabbahi ◽  
Ali Albarrati ◽  
Shane A Phillips ◽  
Sara Arena
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Physical Therapy ◽  
Health Care Providers ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Standard Of Care ◽  
Morbidity Rate ◽  
Routine Practice ◽  
Care Providers

Abstract Hypertension (HTN) is among the leading global preventable risk factors for cardiovascular disease and premature mortality. Early detection and effective management of HTN have demonstrated significant reductions in mortality, morbidity rate, and health care costs. Furthermore, screening for HTN by nonphysician health care providers improves detection rates and medical management. As physical therapist practice advances to a more independent care model, physical therapists may serve as the first point of contact into the health care system, thereby necessitating a need for routine blood pressure (BP) monitoring. This is especially relevant in the outpatient physical therapist practice setting, where there is evidence for elevated BP measures among patients, yet omission of routine screening in this setting is well documented. Leading physical therapy professional organizations include statements in their guidelines that suggest that physical therapists have a duty to provide a standard of care that protects the safety and optimizes the overall health of patients under their care. Therefore, it is imperative not only that physical therapists include BP examination into routine practice protocols but that the knowledge and skills to accurately measure and interpret BP at rest and during exercise be integrated into the standard of care. The authors suggest that the profession of physical therapy proactively embrace their potential to address the national and worldwide HTN epidemic through routine assessment of BP, appropriate referral for elevated BP measures, and exploration of HTN management by physical therapists.

scholarly journals Adding a Physical Therapist to the Health Care Team in an HIV Clinic Increases Physical Therapy Referrals and Reduces Opioid Prescriptions Provided for Chronic Musculoskeletal Pain in Patients Living With HIV

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Vinoja Sebanayagam ◽  
Nichole Chakur ◽  
Nana Ama Baffoe ◽  
Brian Reed ◽  
Jarrett Weinberger ◽  
...  
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Health Care Providers ◽  
Physical Therapist ◽  
Health Care Team ◽  
Care Team ◽  
People Living With Hiv ◽  
Care Providers ◽  
Living With Hiv ◽  
The Impact

Abstract Background Musculoskeletal (MSK) pain is common in people living with HIV (PLWH). Health care providers sometimes prescribe opioids to control pain, which may lead to opioid misuse. An interdisciplinary approach that includes physical therapy has been successful in managing MSK pain in various health care settings. Therefore, we sought to find the impact of recruiting a physical therapist (PT) on the number of opioid prescriptions and physical therapy referrals made by physicians in training to manage MSK pain in PLWH. Methods We performed a retrospective chart review of patients seen by Internal Medicine physicians in training in an HIV clinic in Detroit before (2017) and after (2018) recruiting a PT to the health care team and collected demographic and clinical data. We also surveyed the trainees to assess how the PT addition influenced their learning. Institutional review board waiver was obtained. Results Results showed that of all PLWH seen at the clinic, 28/249 (11%) and 37/178 (21%) had chronic MSK pain in the 2017 and 2018 data sets, respectively. In 2017, all 28 patients with MSK pain were prescribed opioids. This decreased in 2018 after the PT addition (10/37 patients; P < .0001). The number of physical therapy referrals significantly increased after the PT addition (2017: 5/28 patients; 2018: 17/37 patients; P = .03). Trainees felt that the PT helped improve their examination skills and develop a treatment plan for patients. Conclusions The addition of a PT encouraged physicians in training to utilize nonopioid management of MSK pain in PLWH and enhanced their learning experience, as perceived by the trainees.

scholarly journals Continuity in the Provider of Home-Based Physical Therapy Services and Its Implications for Outcomes of Patients

2012 ◽  
Vol 92 (2) ◽  
pp. 227-235 ◽  
Author(s):  
David Russell ◽  
Robert J. Rosati ◽  
Evie Andreopoulos
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Home Health Care ◽  
Home Health ◽  
Activity Limitations ◽  
Administrative Records ◽  
For Profit ◽  
Home Based ◽  
Therapy Services ◽  
Physical Therapy Services

BackgroundA growing body of research suggests that greater continuity of health care is positively associated with improved outcomes of patients. However, few studies have examined this issue in the context of physical therapy.ObjectiveThe purpose of this study was to evaluate whether the level of continuity in the provider (provider continuity) of physical therapy services was related to outcomes in a population of patients receiving home health care.DesignThis was a retrospective observational study.MethodsClinical and administrative records were retrieved for a population of adult patients receiving physical therapy services from a large, urban, not-for-profit certified home health care agency in 2009. Descriptive and multivariable analyses were used to examine how the level of provider continuity, calculated by use of a formula that models dispersion in contact between the patient and the providers of physical therapy services, varied across characteristics and outcomes of patients.ResultsLogistic regression analyses indicated that patients with lower levels of provider continuity had significantly higher odds of hospitalization (odds ratio [OR]=2.06, 95% confidence interval [CI]=1.90–2.23) and lower odds of improvements in the number of activity limitations (OR=0.85, 95% CI=0.80–0.92) and in the severity of activity limitations (OR=0.85, 95% CI=0.78–0.93) between the beginning and the end of the home health care episode.LimitationsBaseline clinical characteristics associated with continuity of care suggest some level of indication bias. Outcome measures for activities of daily living were limited to patients who were not hospitalized during their home health stay.ConclusionsThese findings build upon research suggesting that continuity in the patient-provider relationship is an important determinant of outcomes of patients.

scholarly journals Benefits of Musculoskeletal Physical Therapy in Emergency Departments: A Systematic Review

2019 ◽  
Vol 99 (9) ◽  
pp. 1150-1166 ◽  
Author(s):  
Eveline Matifat ◽  
Marianne Méquignon ◽  
Caitriona Cunningham ◽  
Catherine Blake ◽  
Oma Fennelly ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Usual Care ◽  
Health Care Providers ◽  
Emergency Departments ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Current Evidence ◽  
Care Providers ◽  
High Quality

Abstract Background Over the past few decades, physical therapists have emerged as key health care providers in emergency departments (EDs), especially for patients with musculoskeletal disorders (MSKD). Purpose The purpose of this review was to update the current evidence regarding physical therapist care for patients with MSKD in EDs and to update current recommendations for these models of care. Data Sources Systematic searches were conducted in 5 bibliographic databases. Study Selection The studies selected presented quantitative data related to the care of patients with MSKD by physical therapists in an ED setting. Data Extraction Raters reviewed studies and used the Effective Public Health Practice Project Quality Assessment Tool to assess their methodological quality. Data Synthesis Fifteen studies were included. Two studies, 1 of weak and 1 of strong quality, demonstrated that physical therapist care in EDs was as effective as or more effective than usual medical care for pain reduction, and 6 studies of varying quality reported that physical therapist care in EDs was as effective as usual care in EDs in reducing disability. Eight studies of varying quality reported that physical therapist care could significantly reduce waiting time in EDs. Four studies of varying quality reported that physical therapists ordered no more, or even fewer, medical images than physicians. In terms of health care costs, 2 studies of moderate to high quality found no significant differences in costs between physical therapist care and usual care in EDs. Finally, 6 studies of varying quality reported that patients were as satisfied or more satisfied with physical therapist care as with usual medical care in EDs. Limitations The roles of physical therapists in EDs vary depending on the setting, legislation, and training of providers. Only a limited number of high-quality studies were identified. Conclusions Although the quality of the evidence is heterogeneous, physical therapist care for patients with MSKD in EDs may be beneficial.

scholarly journals A pill for the partner via the chlamydia patient? Results from a mixed method study among sexual health care providers in the Netherlands

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Anita C. Nanhoe ◽  
Maartje Visser ◽  
Jurriaan J. Omlo ◽  
Anita J. C. M. Watzeels ◽  
Ingrid V. van den Broek ◽  
...  
Keyword(s):  
Health Care ◽  
The Netherlands ◽  
Sexual Health ◽  
Health Care Providers ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Care Providers ◽  
Sexual Health Care

scholarly journals Silk road: Opportunities for foreign-owned health care clinics in China

1996 ◽  
Vol 19 (2) ◽  
pp. 94 ◽  
Author(s):  
Tin Kin Lee
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Silk Road ◽  
Health Care Facilities ◽  
Care Providers ◽  
Republic Of China ◽  
Health Care Clinics ◽  
Care Facilities ◽  
Industrialised Countries

Hospitals and other health care providers are being squeezed by decliningreimbursement and capitated revenues. As this happens they are looking to expandinto rapidly developing and newly industrialised countries. This article will focus onthe People?s Republic of China as a country with opportunities for developing privatehospitals and health care facilities.

The feasibility of gym-based exercise therapy for patients with persistent neck pain

2020 ◽  
Vol 20 (2) ◽  
pp. 261-272
Author(s):  
Johan Larsson ◽  
Hans Westergren ◽  
Birgitta Häggman-Henrikson ◽  
Aurelija Ilgunas ◽  
Anders Wänman ◽  
...  
Keyword(s):  
Health Care ◽  
Neck Pain ◽  
Health Care Providers ◽  
Exercise Therapy ◽  
Physical Therapist ◽  
Neck Disability Index ◽  
Care Providers ◽  
Neck Trauma ◽  
Neck Disability ◽  
Therapy Intervention

AbstractBackground and aimsPersistent neck pain is common and can be detrimental to the health of those who are affected. This is particularly common after neck trauma, where it poses a challenge to health care providers. In this paper, we present the design and results of a study aimed primarily at assessing the feasibility of a supervised exercise intervention for patients with persistent neck pain after trauma. As a secondary aim, we analyzed the results of the intervention.MethodsWe designed and conducted a feasibility study using a mixed methods design. Ten patients with persistent neck pain (nine with a history of neck trauma and one with sudden onset of neck pain) were recruited from a specialized pain rehabilitation center and underwent a gym-based individual exercise therapy intervention, supervised by a physical therapist. We assessed the feasibility of the exercise therapy intervention based on the experiences of the patients and physical therapists. We analyzed both quantitative and qualitative results using descriptive statistics, content analysis, and questionnaires.ResultsThe study found the exercise therapy to be a feasible alternative for patients with persistent neck pain. Most of the practical aspects of the intervention and study were executed as planned, and the study was well received by the patients, who found it a valuable part of their rehabilitation. In the quantitative analysis, improvements were observed on the Neck Disability Index, numerical rating scale for pain, EuroQol 5D, and physical activity, with scores on the Neck Disability Index showing a statistically significant improvement. Scores on the Disability Rating Index showed a non-significant deterioration. The qualitative analysis uncovered one overarching theme and four themes for the patients and three themes for the physical therapist.ConclusionsThe exercise therapy intervention seems to be feasible with favorable outcomes for the patients. The quantitative and qualitative analyses demonstrated exercise therapy to be beneficial from several different perspectives. However, although structured, the training needs customization and individual adaption from a clinical reasoning perspective in order to meet each patient’s individual needs.ImplicationsThis study shows that supervised gym-based exercise therapy is feasible for patients with severe, persistent neck pain. It facilitates and motivates the execution of a larger, controlled trial, which might then lead to a new and potentially effective addition to the toolbox of all health care providers treating patients with persistent neck pain.

scholarly journals General Practitioners’ Experiences of Digital Written Patient Dialogues: A Pilot Study Using a Mixed Method

2020 ◽  
Vol 11 ◽  
pp. 215013272090965
Author(s):  
Anders Johansson ◽  
Monica Larsson ◽  
Bodil Ivarsson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Mixed Method ◽  
Critical Incident ◽  
Care Providers ◽  
Response Options ◽  
Primary Health ◽  
Study Results

Background: The path between patients and health care providers has adopted new advanced information technologies. However, opinions vary about the digital care meeting. Physicians have expressed concerns about increased workload, changes in working methods, and information security. Purpose: To explore physicians’ experiences and satisfaction of digital primary health care. Method: A convergent mixed method was used. First, participants completed a quantitative questionnaire survey with fixed response options described as index values (IV, 0-1.0), supplemented with a 10-point Likert-type scale, estimating satisfaction. Second, a qualitative interview used critical incident technique (CIT) to offer more complete context. Data were collected during 2 months in 2019; 6 general practitioners (GPs) participated. Results: The GPs described good experiences of the concept (IV 0.65), corresponding to a median satisfaction value of 6.5 (interquartile range 5-9,). CIT emerged into 2 main areas; “Hovering between traditional and digital primary health care” and “Using active strategies to handle the digital care system.” GPs experienced that the concept offered a good flow, an asynchronous working approach was used. GPs also stated present chat design was a good complement to traditional forms of primary health care, and the benefits of being able to read patients’ self-described history were considered a significant patient safety factor. However, the GPs felt that a predetermined symptom list were not suitable for all patients. Conclusion: Study results suggest the present design using digital written patient dialogues complements traditional primary healthcare. GPs described satisfaction and expressed good experiences of the concept, although further development of the design is needed.

Sign in / Sign up

Export Citation Format

Share Document