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Related Experiment Videos

Physiatry as a primary care specialty

G E Francisco1, J C Chae, J A DeLisa

  • 1Department of Physical Medicine and Rehabilitation, UMD-New Jersey Medical School, Newark, New Jersey 07103, USA.

American Journal of Physical Medicine & Rehabilitation
|May 1, 1995
PubMed
Summary
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Physical Medicine and Rehabilitation (PM&R) specialists are exploring primary care roles for disabled individuals. While many physiatrists feel competent, less than half believe current training adequately prepares them for this expanded primary care scope.

Area of Science:

  • Rehabilitation Medicine
  • Healthcare Policy
  • Primary Care

Background:

  • Healthcare reform aims for affordable, accessible, high-quality care for all Americans.
  • Physical Medicine and Rehabilitation (PM&R) is reassessing its role in caring for disabled populations, especially those with severe conditions.

Purpose of the Study:

  • To survey physiatrists and PM&R residents on their views regarding the provision of primary care for disabled individuals.
  • To assess perceptions of physiatrist competence, qualifications, and willingness to serve as primary care providers for the disabled.

Main Methods:

  • A national survey was distributed to 100 physiatrists and 100 PM&R residents.
  • Response rate was 55% (55 physiatrists and 51 residents).
  • Survey questions focused on opinions regarding PM&R as a primary care specialty and the role of physiatrists in managing disabled patients.

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Main Results:

  • 39% of respondents agreed PM&R should be a primary care specialty.
  • 53% believed physiatrists should provide primary care for the severely disabled (e.g., spinal cord/head injury).
  • 53% felt physiatrists are competent in general medical care, but only 38% believe current residency training is sufficient for primary care roles.
  • Respondents indicated willingness to manage care for spinal cord (60%) and head injuries (51%), but only 40% were willing to assume full primary care responsibilities.

Conclusions:

  • A significant portion of PM&R professionals see potential for their specialty in primary care for the disabled.
  • Concerns exist regarding the adequacy of current residency training to prepare physiatrists for primary care responsibilities.
  • While willing to manage specific complex conditions, a lower percentage expressed readiness for broader primary care roles.