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Advanced practice in physiotherapy: a global survey.

Andrews K Tawiah1, François Desmeules2, Laura Finucane3

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This summary is machine-generated.

Advanced physiotherapy practice is emerging globally, with 17% of surveyed countries having formal roles. Key facilitators include evidence, advocacy, and employer support, though role titles can cause confusion.

Keywords:
Advanced practiceMusculoskeletalPhysiotherapyProfessional practice

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Area of Science:

  • Physiotherapy
  • Healthcare Professions
  • Global Health

Background:

  • Advanced physiotherapy practice is a developing area with growing evidence supporting its efficacy.
  • World Physiotherapy established a policy on advanced practice in May 2019.
  • There is a lack of global data on the nature and extent of advanced physiotherapy practice.

Purpose of the Study:

  • To determine the prevalence of advanced physiotherapy practice worldwide.
  • To document the terminology used for advanced physiotherapy practitioners.
  • To identify pathways to advanced practice and barriers/facilitators to its development.

Main Methods:

  • An online cross-sectional survey was distributed to member organizations of World Physiotherapy.
  • The survey included 14 questions developed from a literature review and expert consultation.
  • Participants were national physiotherapy associations.

Main Results:

  • A 73% response rate was achieved from 82 out of 112 member organizations.
  • Formal advanced physiotherapy roles exist in 17% of responding countries.
  • Common pathways involve clinical practice combined with Master's or Doctoral degrees; role titles like 'specialist' and 'advanced physiotherapy practitioner' are often used interchangeably.
  • Research evidence, professional advocacy, cost reduction needs, and employer support were identified as major facilitators.

Conclusions:

  • This study clarifies how World Physiotherapy member organizations define advanced physiotherapy practice and the titles used.
  • It offers insights into the challenges and enablers for developing advanced physiotherapy roles globally.