The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey
| Autor: | Antonie Beiske, Ylva Nilsagård, Ilse Baert, Małgorzata Stachowiak, Thomas Henze, Erieta Nikolikj Dimitrova, Mario Habek, Elaine Ross, Johanna Jonsdottir, Cécile Donzé, Paul Van Asch, Ana Maria Ilie, Patricia Martinkova, Una Nedeljkovic, Kamila Rasova, José Manuel Alves Guerreiro, Marketa Pavlikova, Kadriye Armutlu, Andrej Martic, Peter Feys, Tori Smedal, Mariusz Kovalewski, Carme Santoyo, Jenny Freeman, Daphne Bakalidou, Davide Cattaneo, Anders Romberg |
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| Přispěvatelé: | Rasova, Kamila, Freeman, Jenny, Martinkova, Patricia, Pavlikova, Marketa, Cattaneo, Davide, Jonsdottir, Johanna, Henze, Thomas, BAERT, Ilse, VAN ASCH, Paul, Santoyo, Carme, Smedal, Tori, Beiske, Antonie Giaever, Stachowiak, Malgorzata, Kovalewski, Mariusz, Nedeljkovic, Una, Bakalidou, Daphne, Alves Guerreiro, Jose Manuel, Nilsagard, Ylva, Dimitrova, Erieta Nikolikj, Habek, Mario, Armutlu, Kadriye, Donze, Cecile, Ross, Elaine, Ilie, Ana Maria, Martic, Andrej, Romberg, Anders, FEYS, Peter |
| Předmět: |
medicine.medical_specialty
Multiple Sclerosis Referral media_common.quotation_subject medicine.medical_treatment Health administration 03 medical and health sciences 0302 clinical medicine Nursing Ambulatory care Surveys and Questionnaires Ambulatory Care medicine Humans 030212 general & internal medicine Medical prescription Referral and Consultation Physical Therapy Modalities media_common Patient Care Team Inpatients Teamwork Rehabilitation business.industry Health Policy Nursing research Questionnaire Europe Prescriptions Physical therapy business 030217 neurology & neurosurgery Research Article |
| Zdroj: | Scopus-Elsevier BMC Health Services Research |
| Popis: | Background: Understanding the organisational set-up of physiotherapy services across different countries is increasingly important as clinicians around the world use evidence to improve their practice. This also has to be taken into consideration when multi-centre international clinical trials are conducted. This survey aimed to systematically describe organisational aspects of physiotherapy services for people with multiple sclerosis (MS) across Europe. Methods: Representatives from 72 rehabilitation facilities within 23 European countries completed an online web-based questionnaire survey between 2013 and 2014. Countries were categorised according to four European regions (defined by United Nations Statistics). Similarities and differences between regions were examined. Results: Most participating centres specialized in rehabilitation (82 %) and neurology (60 %), with only 38 % specialising in MS. Of these, the Western based Specialist MS centres were predominately based on outpatient services (median MS inpatient ratio 0.14), whilst the Eastern based European services were mostly inpatient in nature (median MS inpatient ratio 0.5). In almost all participating countries, medical doctors - specialists in neurology (60 %) and in rehabilitation (64 %) - were responsible for referral to/prescription of physiotherapy. The most frequent reason for referral to/prescription of physiotherapy was the worsening of symptoms (78 % of centres). Physiotherapists were the most common members of the rehabilitation team; comprising 49 % of the team in Eastern countries compared to approximately 30 % in the rest of Europe. Teamwork was commonly adopted; 86 % of centres based in Western countries utilised the interdisciplinary model, whilst the multidisciplinary model was utilised in Eastern based countries (p = 0.046). Conclusion: This survey is the first to provide data about organisational aspects of physiotherapy for people with MS across Europe. Overall, care in key organisational aspects of service provision is broadly similar across regions, although some variations, for example the models of teamwork utilised, are apparent. Organisational framework specifics should be considered anytime a multi-centre study is conducted and results from such studies are applied. The survey was realised due to support by a RIMS grant 2012 and unrestricted educational grant from Novartis Pharma AG to RIMS, NF-CZ07-MOP-3-3902015, 260277/SVV/2016 and PRVOUK P34. |
| Databáze: | OpenAIRE |
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