物理治疗的私人实践模式:通过探索性定性研究确定了专业挑战
Ben Darlow1, Gill Stotter2, Eileen McKinlay3
1Department of Primary Health Care and General Practice, University of Otago Wellington, Wellington, Aotearoa New Zealand.
Journal of primary health care
|June 28, 2024
概括
新西兰物理治疗中的竞争性私人实践模式限制了合作和专业行为. 这种服务费制度给临床医生带来压力,可能会影响患者护理质量和专业发展.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 物理治疗是物理治疗.
- 专业实践 专业实践 专业实践
背景情况:
- 在新西兰的社区基础的初级保健理疗主要是在私人诊所,收费服务框架内运作.
- 这种模式促进了在市场上竞争的独立企业.
研究的目的:
- 调查私人诊所模式对患者护理的影响.
- 检查对物理治疗师的专业行为和经验的影响.
- 探索私人物理治疗实践对专业文化的影响.
主要方法:
- 采用深入面对面的半结构面试进行的定性研究.
- 在私人实践中管理肌肉骨疾病的六名理疗师通过最大变异的有目的抽样被招募.
- 用解释性描述和诱导性数据分析分析了数据.
主要成果:
- 物理治疗师对私人诊所的文化和专业精神表示担忧.
- 竞争激烈的商业模式与缺乏信任,合作以及与收入相关的压力有关.
- 职业行为受到防御性,对审查的厌恶以及减少同行审查或寻求第二意见的影响.
- 被认为缺乏支持和指导对职业发展产生了负面影响.
结论:
- 私人实践物理治疗中的竞争严重阻碍了沟通和协作.
- 这种竞争环境可能会损害专业性和患者护理的整体质量.
- 职业内对审查的厌恶可能会减少协会互动和专业行为.
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