A Study of Outcomes Following Collaborative Medical Doctor/Physical Therapist Primary Care Service for Musculoskeletal Problems.
Background and Purpose: Collaborative medical doctor/physical therapist primary care services are not described in the literature. The 2 purposes of this observational study were to describe a collaborative medical doctor/physical therapist primary care service, and to describe simple, one question,...
| Publicado en: | Orthopedic Physical Therapy Practice Vol. 30; no. 4; pp. 510 - 518 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Orthopaedic Section, APTA, Inc.
2018
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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=132427137&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132427137 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15320871 YTT jtl: Orthopedic Physical Therapy Practice issn: 15320871 maglogo: N pubinfo: dt: 2018 vid: 30 iid: 4 pid: 38232 pub: Orthopaedic Section, APTA, Inc. place: La Crosse, Wisconsin artinfo: ui: 132427137 132427137 132427137 132427137 ppf: 510 ppct: 8 formats: fmt: @attributes: type: P tig: atl: A Study of Outcomes Following Collaborative Medical Doctor/Physical Therapist Primary Care Service for Musculoskeletal Problems. aug: au: Dan Kang Rahkola, Sarah Vandehaar, Catherine Mulligan, Andrea Morikawa, Kevin Marcano, Amador Cuddeford, Tyler Houck, Jeff affil: George Fox University, Newberg, OR sug: subj: Musculoskeletal Diseases Rehabilitation Physical Therapy Service Methods Health Care Delivery, Integrated Human Nonexperimental Studies Scales Primary Health Care Physical Therapy Practice Joint Practice Manual Therapy Exercise Treatment Outcomes Descriptive Statistics ab: Background and Purpose: Collaborative medical doctor/physical therapist primary care services are not described in the literature. The 2 purposes of this observational study were to describe a collaborative medical doctor/physical therapist primary care service, and to describe simple, one question, outcomes including patient acceptable symptom state (PASS), global rating of normal function (GRNF), and success of treatment (SOT) at intake, 1 to 7 days, and 45 to 60 days follow-up. Methods: Patients were seen for 1 to 2 visits and typically received exercise, hands on treatment, ie, manual therapy, and education. Medical doctor/physical therapist collaborative encounters and provider training are described. Outcome measures were recorded at the first visit, via phone once between 1 to 7 days and once between 45 to 60 days. Descriptive data was calculated at each time point. Findings: Examples of collaborative diagnosis and treatment opportunities are tabulated. A total of 31.9% of patients were PASS Yes at intake (n=402). At 1 to 7 days (n=157; 50.3%) and 45 to 60 days (n=93; 55.9%), the proportion of PASS Yes patients were higher. There was little difference in the GRNF scale at any follow-up. At 45 to 60 days, the SOT question indicated most patients (45.7%) reported "improved" and 29.3% of patients reported as "partly cured" or "cured." Clinical Relevance: Collaborative opportunities for diagnosis and treatment in primary care are provided. A model using the PASS, GRNF, and SOT questions for judging the urgency which a service needs modification to meet patient needs is proposed. Conclusion: A collaborative medical doctor/physical therapist model is a viable option to improve primary care is a viable option to improve primary care services. This descriptive data suggests some level of success, however, there is little relevant data for comparison. pubtype: Periodical doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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