来自高收入国家的物理治疗师在低收入和中等收入国家以外的领域进行实践的探索性研究
1Department of Family Medicine and Community Health, Doctor of Physical Therapy Program, University of Wisconsin, School of Medicine and Public Health, 5110 Medical Sciences Center, 1300 University Ave, Madison, WI, 53706, USA. jahartman@wisc.edu.
Journal of bioethical inquiry
|October 20, 2023
概括
许多在低收入和中等收入国家 (LMIC) 海外工作的物理治疗师 (PT) 在他们的范围之外进行实践. 由于情况,PT经常认为这是必要的,并考虑在未来重复这些行动.
科学领域:
- 全球健康 全球健康
- 物理治疗实践 物理治疗实践
- 跨文化医疗保健 跨文化医疗保健
背景情况:
- 来自高收入国家 (HIC) 的物理治疗师 (PT) 经常在低收入和中等收入国家 (LMIC) 志愿服务或工作.
- 了解这些PT所遇到的实践挑战的范围对于道德和有效的医疗保健服务至关重要.
研究的目的:
- 量化物理治疗师在LMIC的实践范围之外实践的频率.
- 确定促使超出范围实践的情况.
- 评估PT在未来重复这种做法的可能性.
主要方法:
- 采用了一种探索性描述性研究设计.
- 一项全球调查对获得许可的物理治疗师进行了管理.
主要成果:
- 31.7%的受访PT报告说,他们在LMIC的范围之外进行实践.
- 常见的原因包括"有些东西比什么都不好" (47.5%) 和管理主机的期望 (40.0%).
- 大多数 (64.5%) 认为在某些情况下是合适的,53.8% 考虑重复该活动.
结论:
- 在LMIC工作需要意识到独特的风险和挑战.
- 临床能力,批判性自我反思,系统思维和结构能力的结合对于LMIC环境中的PT至关重要.
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