Abstract
Abstract
Background
Primary health care systems have a key role in meeting health needs of community, including function. The aim of this paper is to describe the population involved in the Community Physiotherapist project and their health outcomes over a one-year period.
Methods
The Community Physiotherapist is an on-call service which requires a request by general practitioners or medical specialists. Reason for prescription, waiting time for service delivery, diagnostic categories, provided intervention, number of interventions and outcomes were recorded for everyone included in the project. Possible differences in characteristics between individuals referred by medical specialists and general practitioners were also investigated.
Results
From January to December 2022, 409 individuals were referred to the Community Physiotherapist pathway. Functional goals were achieved in 79.5% of interventions, without reported adverse events. In most cases physiotherapists provided counselling or caregiver training and 3.3% of individuals needed a full rehabilitation program. The groups of individuals referred by the two types of prescribers showed no significant differences, apart, as expected, from their median age.
Conclusions
The introduction of the Community Physiotherapist model within the primary care setting allows to provide appropriate, effective and safe interventions. Sharing the project among all the health professionals helped to support its appropriateness and effectiveness. Results also indicate that a new organizational model, such as the Community Physiotherapist, will take a long time to be implemented.
Subject
Physical Therapy, Sports Therapy and Rehabilitation,Rehabilitation
Reference30 articles.
1. American Academy of Family Physicians. Primary care. 2019. http://www.aafp.org/about/policies/all/primary-care.html. Accessed 15 July 2023.
2. Chatterji S, Byles J, Cutler D, Seeman T, Verdes E. Health, functioning, and disability in older adults—present status and future implications. Lancet. 2015;385:563–75.
3. Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the global burden of disease study 2019: a systematic analysis for the global burden of disease study 2019. Lancet. 2020;396(10267):2006–17. https://doi.org/10.1016/S0140-6736(20)32340-0.
4. WHO called to return to the Declaration of Alma-Ata. Geneva: World Health Organization; 2022. Available from: https://www.who.int/teams/social-determinants-of-health/declaration-of-alma-ata [accessed 2022 Aug 22].
5. Declaration of Astana: global conference on primary health care: Astana, Kazakhstan, 25 and 26 October 2018. Geneva: World Health Organization; 2019. Available from: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf [accessed 2022 Aug 18].