scholarly journals Professional Issues in Physical Therapy Fields: Biopsychosocial Model versus Biomedical model of Delivery of Care with Expert's Professional discussions

2019 ◽  
Vol 8 (1) ◽  
pp. 51
Author(s):  
Tarek gohary ◽  
Osama Khaled ◽  
Samiha Abdelkader
Keyword(s):  
Physical Therapy ◽  
Biopsychosocial Model ◽  
Biomedical Model ◽  
Professional Issues ◽  
Delivery Of Care ◽  
Model Versus

Personhood, dementia policy and the Irish National Dementia Strategy

Dementia ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 1810-1825 ◽  
Author(s):  
Niamh Hennelly ◽  
Eamon O’Shea
Keyword(s):  
Content Analysis ◽  
Structural Analysis ◽  
Biopsychosocial Model ◽  
Direct Reference ◽  
Dementia Care ◽  
Social Model ◽  
Biomedical Model ◽  
People With Dementia ◽  
Care Models

Personhood and its realisation in person-centred care is part of the narrative, if not always the reality, of care for people with dementia. This paper examines how personhood is conceptualised and actualised in Ireland through a content analysis of organisational and individual submissions from stakeholders in the development of the Irish National Dementia Strategy, followed by an examination of the Strategy itself. The organisational submissions are further categorised into dementia care models. A structural analysis of the Strategy examines its principles, actions and outcomes in relation to personhood. Of the 72 organisational and individual submissions received in the formulation of the Strategy, 61% contained references to personhood and its synonyms. Of the 35 organisational submissions, 40% fit a biomedical model, 31% a social model and 29% a biopsychosocial model. The Strategy contains one direct reference to personhood and 33 to personhood synonyms. Half of these references were contained within its key principles and objectives; none were associated with priority actions or outcomes. While stakeholders value personhood and the Strategy identifies personhood as an overarching principle, clearer direction on how personhood and person-centred care can be supported in practice and through regulation is necessary in Ireland. The challenge, therefore, is to provide the information, knowledge, incentives and resources for personhood to take hold in dementia care in Ireland.

Health psychology and the biopsychosocial paradigm: an epistemological essay

2011 ◽  
Vol 5 (9) ◽  
pp. 2309
Author(s):  
Adriana De Oliveira
Keyword(s):  
Health Psychology ◽  
Literature Review ◽  
Biopsychosocial Model ◽  
Theoretical Study ◽  
Biomedical Model ◽  
Social Dimensions ◽  
Historical Aspects ◽  
Concepts Of Health ◽  
Health And Illness ◽  
Over Time

ABSTRACTObjective: to analyze, through an epistemological essay, the biopsychosocial paradigm, which is widely used to guide the practices in Health Psychology. Method: this is a theoretical study that, through a literature review, proposes an epistemological reflection. For this, the concepts of health and illness were approached, situating the treatments used over time; the notion of Health Psychology and its historical aspects with regard to the emergence and transition from the biomedical to the biopsychosocial model. Results: the coexistence of different versions of the biopsychosocial model, which enclose different epistemological assumptions, are identified through hierarchical or interactionist and integrative or dialectical metatheories. The interactionist metatheory assumes a dualistic (bio + psychosocial) conception, supported by the positivist and biomedical model, with a hierarchical prevalence between the areas concerned when they submit themselves to the epistemological authority of biomedicine. In its turn, in the integrative metatheory, the biological, psychological, and social dimensions interact dialectically, presenting an affinity with the Hippocratic doctrine. Conclusion: the health psychologist’s practices encompass an epistemological attitude, even when he/she ignores it. Therefore, divergent epistemological positions can be identified within the designation biopsychosocial. Descriptors: knowledge; behavioral medicine; practice (psychology).RESUMOObjetivo: analisar, por meio de ensaio epistemológico, o paradigma biopsicossocial, que é amplamente usado para orientar as práticas em Psicologia da Saúde. Método: trata-se de um estudo teórico que, por meio de revisão de literatura, propõe-se a uma reflexão epistemológica. Para tanto, abordaram-se os conceitos de saúde e doença, situando os tratamentos utilizados ao longo do tempo; a concepção de Psicologia da Saúde e seus aspectos históricos de surgimento e a transição do modelo biomédico para o biopsicossocial. Resultados: identifica-se por intermédio das metateorias hierárquica ou interacionista e integradora ou dialética a coexistência de diferentes versões do modelo biopsicossocial, as quais encerram pressupostos epistemológicos distintos. A metateoria interacionista presume uma concepção dualista (bio + psicossocial), alinhando-se ao modelo positivista e biomédico, com prevalência hierárquica entre as áreas envolvidas ao se submeterem à autoridade epistemológica da biomedicina. Já na metateoria integrativa, as dimensões biológica, psicológica e social interagem dialeticamente, apresentando afinidade com a doutrina hipocrática. Conclusão: as práticas do psicólogo da saúde comportam uma atitude epistemológica, mesmo que por ele ignorada. Portanto, dentro da denominação biopsicossocial é possível reconhecer posições epistemológicas divergentes. Descritores: conhecimento; medicina do comportamento; prática (psicologia).RESUMENObjetivo: analizar, a través de ensayo epistemológico, el paradigma biopsicosocial, que es ampliamente utilizado para guiar las prácticas en Psicología de la Salud. Método: esto es un estudio teórico que, por medio de revisión de literatura, se propone a una reflexión epistemológica. Por lo tanto, fueron abordados los conceptos de salud y enfermedad, situando los tratamientos utilizados al paso del tiempo; la concepción de Psicología de la Salud y sus aspectos históricos de surgimiento y la transición del modelo biomédico para el modelo biopsicosocial. Resultados: se identifica a través de las metateorías jerárquica o interaccionista y integradora o dialéctica la coexistencia de diferentes versiones del modelo biopsicosocial, que contienen diferentes supuestos epistemológicos. La metateoría interaccionista presume una concepción dualista (bio + psicosocial), alineandose al modelo positivista y biomédico, con prevalencia jerárquica entre las áreas envueltas sometiendose a la autoridad epistemológica de la biomedicina. Ya en la metateoría integradora, las dimensiones biológica, psicológica y social constituyen una relación dialéctica, presentando afinidad con la doctrina hipocrática. Conclusión: las prácticas del psicólogo de la salud comportan una actitud epistemológica, aunque lo ignore. Por lo tanto, dentro de la denominación biopsicosocial pueden ser reconocidas posiciones epistemológicas divergentes. Descriptores: conocimiento; medicina del comportamiento; práctica (psicología).

FACILITATORS, BARRIERS AND PROFESSIONAL ISSUES SURROUNDING THE USE OF THE ANKLE BRACHIAL INDEX IN OUTPATIENT PHYSICAL THERAPY PRACTICE

2011 ◽  
Vol 22 (4) ◽  
pp. 27-28
Author(s):  
Kristin M. Lefebvre ◽  
Crystal Cody ◽  
Jennifer Mason ◽  
Erika Jayne ◽  
Rebecca Monaghan ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Ankle Brachial Index ◽  
Professional Issues

Characteristics of ambulatory spine care visits in the United States, 2009–2016

2021 ◽  
pp. 1-8
Author(s):  
Byron J. Schneider ◽  
R. Sterling Haring ◽  
Amos Song ◽  
Peter Kim ◽  
Gregory D. Ayers ◽  
...  
Keyword(s):  
United States ◽  
Back Pain ◽  
Physical Therapy ◽  
Private Insurance ◽  
The United States ◽  
Delivery Of Care ◽  
Public Health Burden ◽  
Spine Care ◽  
Care Survey ◽  
Ambulatory Medical Care

BACKGROUND: Back pain is a leading reason for seeking care in the United States (US), and is a major cause of morbidity. OBJECTIVE: To analyze demographic, patient, and visit characteristics of adult ambulatory spine clinic visits in the United States from 2009–2016. METHODS: Data from the National Ambulatory Medical Care Survey from 2009–2016 were used and were sample weighted. RESULTS: Most patients presenting for ambulatory spine care were 45–64 years (45%), were most commonly female (56.8%), and private insurance (45%) and Medicare (26%) were most common payors. The percentage of visits for spine care done at a primary care setting was 50.1% in 2009–2010 and 48.3% in 2014–2015. Approximately 15.5% were seen in orthopedic surgery clinics in 2009–2010 and 7.3% in 2015–2016. MRI was utilized in 11.7% in 2009–2010 and 11.0% in 2015–2016. Physical therapy was prescribed in 13.2% and narcotic analgesic medications were prescribed in 36.2% of patients in 2015–2016. CONCLUSIONS: MRI was used more frequently than guidelines recommended, and physical therapy was less frequently utilized despite evidence. A relatively high use of opiates in treatment of back pain was reported and is concerning. Although back pain represents a substantial public health burden in the United States, the delivery of care is not evidence-based.

scholarly journals Perception of the transition from the biomedical model to the biopsychosocial model in internal users from the CESFAM Pinares, Chiguayante

Medwave ◽  
2012 ◽  
Vol 12 (01) ◽  
pp. e5290-e5290
Author(s):  
Jacqueline Ibarra Peso ◽  
Arlette Hernández Castro ◽  
Samuel Meza Vásquez
Keyword(s):  
Biopsychosocial Model ◽  
Biomedical Model

Educational and professional issues in physical therapy—An international study

2008 ◽  
Vol 24 (5) ◽  
pp. 344-359 ◽  
Author(s):  
Lawrence P Cahalin ◽  
Yoshimi Matsuo ◽  
Sean M Collins ◽  
Ayako Matsuya ◽  
Francis Caro
Keyword(s):  
Physical Therapy ◽  
International Study ◽  
Professional Issues
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