Pourquoi ce travail est dans la base
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Notice bibliographique
Résumé
Hospitals and primary healthcare services operate around the clock, 7 days a week. Traditionally, physiotherapy services have operated within business hours from Monday to Friday or, if an out-of-hours service has been provided, it has been a reduced service. However, the health problems of some of our patients can deteriorate if not addressed immediately. In addition, many people with less urgent problems may find it difficult to attend physiotherapy appointments during business hours due to their own commitments or work. Consistent with the principles of patient-centred and family-centred care, we have an obligation to provide care for people when they need it and when they are available. This situation, together with the fact that other services and professions in the healthcare system provide care 7 days a week, provides a rationale for a discussion on providing a 7-day physiotherapy service. Some areas of physiotherapy practice have a long tradition of providing services outside of business hours, for example, weekend physiotherapy services for patients with high acuity such as in intensive care units. In the United Kingdom, 97% of intensive care units provide 24-hour access to physiotherapy, and in Canada, 97% of intensive care units haveweekend physiotherapy services. A recent Australian survey found that 80% of acute wards provided physiotherapy on a Saturday. Also, physiotherapists working in private practice, often with a focus on treating musculoskeletal problems, have long provided, at least in Australia, services outside of business hours including weekends. Although we were not able to locate data about the extent of the out-of-hours services provided by private practitioners, information about the number of hours worked by physiotherapists in excess of 40 hours a week suggests that these services may be widespread. In other areas of physiotherapy practice, out-of-hours services are either much reduced or absent. For example, only 30% of rehabilitation services in Australia, and approximately 69% of community hospitals in Canada, provide physiotherapy services at weekends. Although 97% of tertiary care hospitals in Canada provide physiotherapy services at weekends, the service is 88% less than during the week, suggesting that only a skeleton staff is employed to address themost urgent cases. Furthermore, in some centres, night rosters are covered by the most junior staff, who have the least experience at dealing with unexpected or complex changes in a patient’s clinical condition. The case for advocating increased out-of-hours physiotherapy services would be more compelling if its provision was supported by evidence. Such evidence is starting to emerge. A randomised controlled trial from Australia, for example, found that the provision of additional Saturday physiotherapy and occupational therapy helped adults receiving inpatient rehabilitation to get
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle