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ORIGINAL PAPER
Patients’ attitudes about physiotherapists and self-referral to physiotherapy in Croatia – a pilot cross-sectional study
1
Clinic for Rheumatic Diseases and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia
Submission date: 2022-02-03
Acceptance date: 2022-04-26
Publication date: 2023-01-11
Physiother Quart. 2023;31(4):37-43
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Research from developed European countries shows that self-referral to physiotherapy can provide adequate clinically and financially effective care for musculoskeletal disorders and is supported by most healthcare stakeholders. This pilot cross-sectional study aimed to investigate Croatian patients’ attitudes about physiotherapists and self-referral to physiotherapy and determine whether specific characteristics of the respondents' influence attitudes.
Methods:
The study involved 125 subjects, outpatient physiotherapy patients. Sociodemographic and medical data were collected at the end of the physiotherapy cycle. At the same time, the respondents' filled out a survey questionnaire on attitudes about physiotherapists and self-referral to physiotherapy, which was created for this research.
Results:
The respondents' attitudes show that physiotherapists possess and practice the necessary competencies in the health care of musculoskeletal disorders and that they are insufficiently represented in health care. The results implicate that physiotherapy is a patient-centred, effective and well-accepted health service. Self-referral to physiotherapy has potential socioeconomic implications for the individual and the health system. The results show (p < 0.05) that attitudes do not differ concerning gender, level of education or the number of previously attended cycles of physiotherapy. Still, increasing age decreases a positive attitude towards the effectiveness of physiotherapy and the professional autonomy of physiotherapists.
Conclusions:
The attitudes of Croatian patients toward physiotherapists and the possibility of self-referral to physiotherapy are positive and negatively correlated only with the characteristic of the age.
Research from developed European countries shows that self-referral to physiotherapy can provide adequate clinically and financially effective care for musculoskeletal disorders and is supported by most healthcare stakeholders. This pilot cross-sectional study aimed to investigate Croatian patients’ attitudes about physiotherapists and self-referral to physiotherapy and determine whether specific characteristics of the respondents' influence attitudes.
Methods:
The study involved 125 subjects, outpatient physiotherapy patients. Sociodemographic and medical data were collected at the end of the physiotherapy cycle. At the same time, the respondents' filled out a survey questionnaire on attitudes about physiotherapists and self-referral to physiotherapy, which was created for this research.
Results:
The respondents' attitudes show that physiotherapists possess and practice the necessary competencies in the health care of musculoskeletal disorders and that they are insufficiently represented in health care. The results implicate that physiotherapy is a patient-centred, effective and well-accepted health service. Self-referral to physiotherapy has potential socioeconomic implications for the individual and the health system. The results show (p < 0.05) that attitudes do not differ concerning gender, level of education or the number of previously attended cycles of physiotherapy. Still, increasing age decreases a positive attitude towards the effectiveness of physiotherapy and the professional autonomy of physiotherapists.
Conclusions:
The attitudes of Croatian patients toward physiotherapists and the possibility of self-referral to physiotherapy are positive and negatively correlated only with the characteristic of the age.
REFERENCES (37)
1.
Lončarić I. Task shifting in Healthcare Management of Chronic Non-communicable Diseases [In Croatian]. In: Filipović V. Zbornik Sveučilišta Libertas. Libertas međunarodno sveučilište; 2019;4:83–92.
2.
Croatian Institute of Public Health. Comparison of Leading Public Health Indicators in the Republic of Croatia and the European Union [In Croatian]. Croatian Institute of Public Health:2016. Available from: https://www.hzjz.hr/wp-content....
3.
Croatian Society of Physiotherapists. Manual: Working and Healthy up to 67 [In Croatian]. Zagreb: Croatian Society of Physiotherapists; 2018. Available from: http://www.cif.hr/brosure/Radn....
4.
Dean E. Physical therapy in the 21st century (Part I): toward practice informed by epidemiology and the crisis of lifestyle conditions. Physiother Theory Pract. 2009;25:5–6; doi: 10.1080/09593980802668027.
5.
Piano L, Maselli F, Viceconti A, Gianola S, Ciuro A. Direct access to physical therapy for the patient with musculoskeletal disorders, a literature review. J Phys Ther Sci. 2017;29(8):1463–1471; doi: 10.1589/jpts.29.1463.
6.
Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743–800; doi: 10.1016/S0140-6736(15)60692-4.
7.
Piscitelli D, Furmanek MP, Meroni R, De Caro W, Pellicciari L. Direct access in physical therapy: a systematic review. Clin Ter. 2018;169(5):249–260; doi: 10.7417/CT.2018.2087.
8.
Ojha HA, Snyder RS, Davenport TE. Direct access compared with referred physical therapy episodes of care: a systematic review. Phys Ther. 2014;94(1):14–30; doi: 10.2522/ptj.20130096.
9.
Bury TJ, Stokes EK. A global view of direct access and patient self-referral to physical therapy: implications for the profession. Phys Ther. 2013;93(4):449–459; doi: 10.2522/ptj.20120060.
10.
World Confederation for Physical Therapy. Policy Statement: Direct Access and Patient/Client Self-Referral to Physical Therapy. 2019. Available from: https://world.physio/sites/def....
11.
European Region of the World Confederation for Physical Therapy/Physiotherapy. Direct access – Patient self-referral within the ER-WCPT. 2011. Available 20.9.2021 from: http://www.erwcpt.eu/file/61.
12.
Karvonen E, Laitinen-Väänänen S, Paatelma M, Roine M, Heinonen A. Physiotherapists’ experiences of direct access for clients with musculoskeletal pain and dysfunction: a qualitative study. Eur J Physiother. 2021;23(1):55–62; doi: 10.1080/21679169.2019.1636133.
13.
Leemrijse CJ, Swinkels IC, Veenhof C. Direct access to physical therapy in the Netherlands: results from the first year in community-based physical therapy. Phys Ther. 2008;88(8):936–946; doi: 10.2522/ptj.20070308.
14.
Long J. European Region of the WCPT statement on physiotherapy in primary care. Prim Health Care Res Dev. 2019;20:e147; doi: 10.1017/S1463423619000811.
15.
Holdsworth LK, Webster VS, McFadyen AK, et al. Physiotherapists’ and general practitioners’ views of self-referral and physiotherapy scope of practice: results from a national trial. Physiotherapy. 2008;94(3):236–243; doi: 10.1016/j.physio.2008.01.006.
16.
Torjesen I. Self referral to physiotherapy for back pain reduces pressure on GP appointments. BMJ. 2019;364:l870; doi: 10.1136/bmj.l870.
17.
Parliament of the Republic of Croatia. The Health Care Act [In Croatian]. Narodne novine: 2018;100. Available from: https://narodne-novine.nn.hr/c....
18.
Bury TJ, Stokes EK. Direct access and patient/client self-referral to physiotherapy: a review of contemporary practice within the European Union. Physiotherapy. 2013;99(4):285–291; doi: 10.1016/j.physio.2012.12.011.
19.
Webster V, Holdsworth L, McFadyen A, Little H, et al. Self-referral, access and physiotherapy: patients’ knowledge and attitudes – results of a national trial. Physiotherapy. 2008;94(2);141–149; doi: 10.1016/j.physio.2007.11.003.
20.
Babatunde OO, Bishop A, Cottrell E, Jordan JL, Corp N, Humphries K, ET AL. A systematic review and evidence synthesis of non-medical triage, self-referral and direct access services for patients with musculoskeletal pain. PLoS One. 2020;15(7):e0235364; doi: 10.1371/journal.pone.0235364.
21.
Mudge S, Stretton C, Kayes N. Are physiotherapists comfortable with person-centred practice? An autoethnographic insight. Disabil Rehabil. 2014;36(6):457-63. doi: 10.3109/09638288.2013.797515.
22.
Harman K, Bassett R, Fenety A, Hoens AM. Client Education: Communicative interaction between physiotherapists and clients with subacute low back pain in private practice. Physiother Can. 2011;63(2):212–223; doi: 10.3138/ptc.2009-52P.
23.
Begić M. Quality of physiotherapy activity and professional responsibility of physiotherapist [In Croatian]. Physiother Croat. 2018;16:87–92. Available from: https://hrcak.srce.hr/file/295....
24.
Roman N, Miclaus R, Rogozea L. Ethical considerations about informed consent in physiotherapy in Romania. Med Pharm Rep. 2019;92(4):362–367; doi: 10.15386/mpr-1223.
25.
Wijma AJ, Bletterman AN, Clark JR, Vervoort SCJM, Beetsma A, Keizer D, et al. Patient centeredness in physiotherapy: what does it entail? A systematic review of qualitative studies. Physiother Theory Pract. 2017;33(11):825–840; doi: 10.1080/09593985.2017.1357151.
26.
Trummer U, Mueller U, Nowak P, Stidl T, Pelikan J. Does physician– patient communication that aims at empowering patients improve clinical outcome? A case study. Patient Educ Couns. 2006;61(2):299–306; doi: 10.1016/j.pec.2005.04.009.
27.
Barron CJ, Klaber Moffett JA, Potter M. Patient expectations of physiotherapy: definitions, concepts, and theories. Physiother Theory Pract. 2007;23(1):37–46; doi: 10.1080/09593980601147843.
28.
Chartered Society of Physiotherapy. Physiotherapy works: occupational health. Available 20.09.2021 from: https://www.csp.org.uk/publica....
29.
Simmonds MJ, Derghazarian T, Vlaeyen JW. Physiotherapists’ knowledge, attitudes, and intolerance of uncertainty influence decision making in low back pain. Clin J Pain. 2012;28(6):467–474; doi: 10.1097/AJP.0b013e31825bfe65.
30.
Ristimäki HL, Tiitinen S, Juvonen-Posti P, Ruusuvuori J. Collaborative decision-making in return-to-work negotiations. J Pragmat. 2020;170:189–205; doi: 10.1016/j.pragma.2020.08.012.
31.
Bastemeijer CM, van Ewijk JP, Hazelzet JA, Voogt LP. Patient values in physiotherapy practice, a qualitative study. Physiother Res Int. 2021;26(1):e1877; doi: 10.1002/pri.1877.
32.
Oberoi S, Chaudhary N, Patnaik S, Singh A. Understanding health seeking behaviour. J Family Med Prim Care. 2016;5(2):463–464; doi: 10.4103/2249-4863.192376.
33.
Ministry of Health of the Republic of Croatia. Ordinance on minimum requirements regarding space, workers and medical-technical equipment for performing health care activities [In Croatian]. Narodne novine: 2020;52. Available from: https://narodne-novine.nn.hr/c....
34.
Goodwin R, Moffatt F, Hendrick P, Timmons S, Chadborn N, Logan P. First point of contact physiotherapy; a qualitative study. Physiotherapy. 2020;108:29–36; doi: 10.1016/j.physio.2020.02.003.
35.
Goodwin RW, Hendrick PA. Physiotherapy as a first point of contact in general practice: a solution to a growing problem? Prim Health Care Res Dev. 2016;17(5):489–502; doi: 10.1017/S1463423616000189.
36.
Bishop A, Chen Y, Protheroe J, Ogollah RO, Bailey J, Lewis M, et al. Providing patients with direct access to musculoskeletal physiotherapy: the impact on general practice musculoskeletal workload and resource use. The STEMS-2 study. Physiotherapy. 2021;111:48–56; doi: 10.1016/j.physio.2020.04.006.
37.
Ülger Ö, Demirel A, Oz M, Şahin A. Effectiveness of physiotherapy and minimal invasive technics on functional status and quality of life in geriatric patients with low back pain. J Exerc Rehabil. 2018;14(6):1048–1052; doi: 10.12965/jer.1836354.177.
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