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Advanced Physiotherapy Practice: A qualitative study on the potential challenges and barriers to implementation in
Andrews Kwabena Tawiah1, Alan Borthwick2, Linda Woodhouse1
1Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
Physiotherapy Theory and Practice
|June 14, 2018
Summary
Implementing Advanced Physiotherapy Practice (APP) in Ghana faces challenges including jurisdictional disputes, lack of management support, policy gaps, and insufficient postgraduate training. Addressing these is crucial for successful APP integration.
Area of Science:
- Health Services Research
- Physiotherapy Practice
- Global Health
Background:
- Advanced Physiotherapy Practice (APP) offers potential to improve healthcare access and address workforce shortages.
- Implementation of APP in developing countries like Ghana requires careful consideration of unique barriers.
Purpose of the Study:
- To identify potential challenges and barriers to implementing Advanced Physiotherapy Practice (APP) in Ghana.
- To inform strategies for successful APP integration in the Ghanaian healthcare system.
Main Methods:
- A qualitative study employing semi-structured focus groups with physiotherapists and interviews with orthopedic surgeons.
- Thematic analysis was used to interpret data from purposefully sampled participants.
Main Results:
- Four key themes emerged: jurisdictional disputes between physiotherapists and doctors, insufficient management support due to workplace culture and liability concerns, lack of supportive laws and policies, and the absence of postgraduate training programs for APP.
- While physiotherapists anticipated resistance from doctors, the interviewed doctor expressed willingness to accept APP.
Conclusions:
- Failure to identify and address barriers prior to implementation can lead to program failure in developing countries.
- Addressing identified challenges in jurisdictional acceptance, management support, policy development, and postgraduate training is essential for successful APP implementation in Ghana.
- Successful APP implementation can enhance rural healthcare access and supplement the existing health professional workforce.
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