识别物理治疗师对诊断成像转诊的态度,信念和障碍:一种混合方法研究
Matthew R Schumacher1, Kendra A Karl1, Mattias A Stich1
1Doctor of Physical Therapy Program, University of Mary, Bismarck, USA.
北达科他州大多数物理治疗师 (PT) 不会订购诊断成像 (DI) 由于物流和成本等障碍. 然而,具有高级培训的PTs和那些在城市,骨科环境中的PTs更有可能转介DI.
科学领域:
- 物理疗法物理治疗
- 诊断成像 诊断成像 诊断成像
- 医疗保健政策 医疗保健政策
背景情况:
- 美国有10个州允许物理治疗师 (PT) 直接订购诊断成像 (DI).
- 医疗保健专家展示了适当的DI排序,以获得最佳的患者结果.
- 没有研究探讨了北达科他州 (ND) 的PT DI转介态度和障碍.
研究的目的:
- 在ND PTs中识别对DI推的态度,信念和障碍.
- 了解影响PT决定订购DI的因素.
- 为了告知未来的DI转介在ND和其他州的实施情况.
主要方法:
- 一种混合方法的方法,将在线调查 (n=147) 和采访 (n=17) 结合起来.
- 定量分析包括频率计数和人口统计数据的后勤回归.
- 定性分析涉及面试成绩单的专题编码.
主要成果:
- 74%的ND PTs报告说目前没有提及DI,尽管71%的人认为它会改善患者的治疗结果.
- 具有职业后培训,博士学位,在骨科/体育环境或城市地区的医疗保健医生更有可能推.
- 关键障碍包括推物流,提供者动态,继续教育成本和确定相关教育.
结论:
- 显著的障碍阻止了ND中PT的广泛DI转介.
- 特定的PT特征与更高的DI转介概率有关.
- 解决已识别的障碍可以改善DI转介的采用和实施.
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