Impacts of a Re-designed Care Path for Back Pain Directing Patients to Physiotherapists
| Autor: | Agnieszka Motyl, Małgorzata Kiljańska, Piotr Soszyński, Bożena Walewska-Zielecka |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Primary care Patient Care Planning Post-intervention Net Promoter 03 medical and health sciences 0302 clinical medicine Patient satisfaction health services administration Health care Back pain medicine Humans health care economics and organizations Rehabilitation business.industry Public Health Environmental and Occupational Health 030210 environmental & occupational health Intervention studies Physical Therapists Back Pain Physical therapy Sick Leave medicine.symptom business Low Back Pain |
| Zdroj: | Journal of Occupational & Environmental Medicine. 63:e276-e282 |
| ISSN: | 1536-5948 1076-2752 |
| Popis: | OBJECTIVE To evaluate impact of directing patients with back pain for first visit to a physiotherapist on sick leaves, healthcare utilization, and patient satisfaction. METHODS Pre-post intervention study of 70,138 patients treated in Poland for back pain: 27,034 before the care pathway redesign and 43,104 after. RESULTS After the redesign, all per-patient measures (mean ± SD) significantly decreased over the 12-month follow-up: sick leaves number from 0.32 ± 0.87 to 0.29 ± 0.86, sick leaves days from 2.78 ± 11.56 to 2.56 ± 11.25, doctors' visits from 2.02 ± 1.70 to 1.51 ± 1.63, diagnostic imaging services from 0.63 ± 0.79 to 0.43 ± 0.71 and rehabilitation services from 7.55 ± 14.90 to 4.70 ± 12.61.The Net Promoter Score was higher for physiotherapist (83), than for orthopedists (59), primary care (74), or neurologists (67). CONCLUSIONS Involving physiotherapists early in the back pain care may result in benefits for patients and healthcare organizations. |
| Databáze: | OpenAIRE |
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