Patient-Reported Experiences of Musculoskeletal Virtual Care Delivered by Advanced Practice Physiotherapists

Author:

Soever Leslie12,Courchene Andrew1,Correale Marcia12,Gotal Tamara1,Alvares Marsha1,May Emily1,Veillette Christian3456,Rampersaud Yoga Raja3456

Affiliation:

1. From the: Schroeder Arthritis Institute, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada

2. Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada

3. Division of Orthopaedics, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada

4. Orthopaedic Osteoarthritis Research Program, Schroeder Arthritis Institute, University Health Network, Toronto, Ontario, Canada

5. Clinician Investigator, Krembil Research Institute, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada

6. Professor of Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Abstract

Purpose:To better understand patients’ perspectives on virtual care (VC) delivered by advanced practice physiotherapists (APPs) for hip/knee, foot/ankle, shoulder/elbow, and low back related symptoms.Method:A patient satisfaction questionnaire was developed and distributed electronically to all patients seen by APPs from August 1, 2020 to January 31, 2021. The questionnaire contained quantitative items using a 5-point Likert scale and open-ended questions that yielded qualitative findings. Descriptive statistics were applied to the quantitative data. Qualitative findings were analyzed using a qualitative description approach to identify recurrent themes.Results:Response rate was 74% (374/505) across all clinics. Videoconference was the most common delivery method (91.7%). Overall satisfaction with VC was very high (4.7–4.8/5). Emergent qualitative themes were related to Personal Connection; Preparatory Materials; Virtual Physical Examination; Practical Advantages of VC; Virtual Waiting Room; and Technical Issues.Conclusion:Overall, across several facets including personal connection, patient experience with VC for a variety of musculoskeletal conditions was rated high. Clinically, a systematic approach to the physical examination with preparatory patient education materials was key to positive patient experience.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

Reference37 articles.

1. Ontario Ministry of Health. 2017 Dec 18

2. [cited 2022 Feb 10]. Available from: https://news.ontario.ca/en/release/47597/ontario-making-treatment-faster-for-hip-knee-and-lower-back-pain.

3. Advanced practice in physiotherapy: a global survey

4. Validation of an advanced practice physiotherapy model of care in an orthopaedic outpatient clinic

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