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Advancing Cardiorespiratory Physiotherapy Practice in a Developing Country: Surveying and Benchmarking
Rasha Okasheh1, Emad Al-Yahya1, Lara Al-Khlaifat1
1The University of Jordan, School of Rehabilitation Sciences, Physiotherapy Department, Amman, Jordan.
Cardiorespiratory physiotherapy in Jordan faces challenges due to limited training and recognition, hindering advanced roles. Developing specialized competencies and supportive policies is crucial for integrating physiotherapists into multidisciplinary care.
Area of Science:
- Cardiorespiratory physiotherapy
- Noncommunicable disease management
- Health services research
Background:
- Noncommunicable diseases (NCDs) management necessitates multidisciplinary interventions targeting risk factors.
- Cardiovascular and respiratory diseases are leading causes of NCD mortality.
- Cardiorespiratory physiotherapy plays a vital role in managing NCD-related health behaviors.
Purpose of the Study:
- To describe cardiorespiratory physiotherapy services in Jordan.
- To identify international benchmarks for cardiorespiratory physiotherapy service delivery.
- To identify gaps and areas for development in Jordan's current cardiorespiratory physiotherapy services.
Main Methods:
- A two-phase study involving a cross-sectional survey of physiotherapists in Jordan and a conceptual literature review with benchmarking.
- Phase 1: Survey to describe dimensions of cardiorespiratory physiotherapy service delivery.
- Phase 2: Literature review to identify optimal service delivery domains and criteria.
Main Results:
- Physiotherapists in Jordan lack training and autonomy, limiting advanced roles in cardiorespiratory physiotherapy.
- Service delivery is confined to acute interventions with limited physician referrals, and lacks sufficient recognition and policy support.
- Key domains for service delivery identified: people, scope of practice, and context of practice.
Conclusions:
- Advancing cardiorespiratory physiotherapy practice requires developing competencies in diagnosis, health promotion, and prevention.
- Health authorities should implement regulations and policies to enhance recognition and integration of physiotherapists.
- Facilitating patient-centered, multidisciplinary interventions is essential for improved NCD management.
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