Using clinical outcomes to identify expert physical therapists.
BACKGROUND AND PURPOSE: Previous studies of expert physical therapists have sampled therapists based on years of clinical experience or reputation, not on their patients' clinical outcomes. The purposes of this study were to identify expert physical therapists by using patient self-reported outcomes...
| Publicado en: | Physical Therapy Vol. 83; no. 11; pp. 990 - 1003 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Nov2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106694087&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106694087 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Nov2003 vid: 83 iid: 11 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 106694087 2004019163 10.1093/ptj/83.11.990 NLM14577826 106694087 ppf: 990 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Using clinical outcomes to identify expert physical therapists. aug: au: Resnik L Hart DL affil: Postdoctoral Fellow, Center for Gerontology and Health Care Research, Brown University, 2 Stimson Ave, Providence, RI 02912; linda_resnik@brown.edu sug: subj: Low Back Pain Rehabilitation Physical Therapy Outcome Assessment Quality of Health Care Clinical Competence Physical Therapists Expert Clinicians Clinical Assessment Tools Quality of Life Retrospective Design Effect Size T-Tests Chi Square Test Secondary Analysis Convenience Sample Adolescence Adult Middle Age Aged Aged, 80 and Over Female Male Human Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: BACKGROUND AND PURPOSE: Previous studies of expert physical therapists have sampled therapists based on years of clinical experience or reputation, not on their patients' clinical outcomes. The purposes of this study were to identify expert physical therapists by using patient self-reported outcomes and to describe the characteristics of clinicians whose patients with lumbar spine syndromes reported higher health-related quality of life (HRQL) following rehabilitation. METHODS: Retrospective data were analyzed on 24276 patients (mean age=47.8 years, SD=16, range=14-97) with lumbar spine syndromes treated by 930 physical therapists participating in the Focus On Therapeutic Outcomes database in 1999-2000. Physical therapists and staff answered questions concerning years of experience and practice setting when starting their participation in the outcomes system. Patient self-report HRQL data were collected at intake and discharge from outpatient rehabilitation. Discharge HRQL data were risk adjusted using patient characteristics. Data were aggregated by physical therapist. Risk-adjusted discharge HRQL scores were used to classify physical therapists whose patients reported mean HRQL improvement above the 90th percentile as experts and physical therapists whose patients reported mean HRQL improvement between the 45th and 55th percentiles as average. RESULTS: Therapists classified as expert had fewer patients in the database than did therapists classified as average (mean SD) (19 +/-17 versus 29 +/-22). Mean treatment duration was different between groups (32 +/- 11 days for the expert group versus 31+/-8 days for the average group). DISCUSSION AND CONCLUSION: The results challenge assumptions that extensive clinical experience is necessary to achieve superior patient outcomes, and they provide information about the relationship between therapist characteristics and patient outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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