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Clinical databases in physical therapy.

I C S Swinkels1, C H M van den Ende, D de Bakker

  • 1NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands. i.swinkels@nivel.nl

Physiotherapy Theory and Practice
|June 15, 2007
PubMed
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Physical therapists use clinical databases for research, but their characteristics are not well-documented. This study identified seven databases, highlighting their diverse data and potential for advancing physical therapy research through collaboration.

Area of Science:

  • Physical Therapy
  • Health Informatics
  • Clinical Research

Background:

  • Clinical databases offer significant opportunities for advancing physical therapy theory and practice.
  • A lack of comprehensive information on existing physical therapy clinical databases hinders their optimal utilization.
  • Understanding database characteristics is crucial for leveraging their research potential.

Purpose of the Study:

  • To identify clinical databases used by physical therapists for patient and treatment data.
  • To investigate key aspects of these databases, including data sets, output, management, and quality.
  • To assess the current landscape of clinical databases in physical therapy.

Main Methods:

  • A multi-pronged approach was used for database identification, including contacting professional organizations, database searches (PubMed, internet), and snowball sampling.

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  • The study focused on databases in North America, Australia, Israel, and Western Europe.
  • A structured questionnaire was employed to gather detailed information on database characteristics.

    • Main Results:

    • Seven clinical databases relevant to physical therapy were identified.
    • Databases varied in scope, with some focusing on specific patient groups and others on all patients.
    • Commonly collected data included patient characteristics, referrals, diagnoses, treatments, and closure; functional status data was also collected in some.
    • Primary database purposes included quality improvement, research, and performance management.

    Conclusions:

    • Clinical databases represent a valuable, albeit nascent, resource for physical therapy research.
    • Enhanced cooperation and data sharing among databases could unlock greater potential, enabling international comparative studies.
    • Further development and standardization of clinical databases are recommended to maximize their contribution to the field.