FIRST CONTACT PHYSIOTHERAPY PRACTICE: OPINIONS AND BELIEFS OF PHYSIOTHERAPISTS WORKING IN GHANA
Notice bibliographique
Résumé
Purpose This study sought the opinions and beliefs of physiotherapists in Ghana about First Contact Physiotherapy Practice (FCPP). Relevance Physiotherapy services have moved towards the primary contact model in response to changes in the health care delivery system. Internationally, direct access has been established in Australia, New Zealand, Canada, United Kingdom and United States of America (most states) and it is also discussed at different physiotherapy fora by other countries. However in Ghana it appears, there is no evidence of legislation for FCPP. What pertains is that physiotherapists see patients directly on their own accord. There is the need therefore, to elicit the opinions and beliefs of physiotherapists working in Ghana to chart the way forward towards FCPP. Participants Sixty (60) physiotherapists working in Ghana, registered with the Ghana Association of Physiotherapists (GAP) took part in the study. Methods A self administered pre-tested 28-item open and closed ended questionnaire was used to obtain information about the, knowledge, opinions and beliefs of FCPP. The questionnaire was distributed to all participants after the rationale of the study had been explained to them and had consented to take part in the study at a General Meeting of the Ghana Association of Physiotherapists, whilst those who could not make it for the meeting received theirs through personal visitation, by post and electronic mail. Analysis Responses were summarized using frequency, bar charts and percentages. Chi square was used to determine associations between socio-demographics and opinions and beliefs about FCPP at a significance level of p<0.05. Results The results showed that 53% of the participants were females whilst 68% had less than five years working experience and 53% of physiotherapists see less than 5 new patients without referral weekly. Fifty seven (95%) of the respondents knew about FCPP whilst 71% agree that FCPP is very challenging and 66% agree that FCPP will be more financially rewarding. Strong support for FCPP was reported by 92% of participants and 63% agreed that the Ghana Health Service was ready for FCPP whilst 43% of the respondents agreed that the training Institute is ready for FCPP. Conclusion There is a strong desire of physiotherapists in Ghana to work as first contact practitioners. There will be potential benefits such as further studies and role expansion in the health sector for physiotherapists. More effort must therefore be directed towards adequate training of Physiotherapists to prepare and enable them work efficiently and effectively as first contact practitioners. Implication This study helped identify potential gaps that need to be addressed by all stake holders to prepare physiotherapists in Ghana for FCPP. Key words : First contact physiotherapy practice, opinions and beliefs. Ethical clearance Ethical approval was sought and obtained from the Ethical Review Committee of the School of Allied Health Sciences, College of Health Sciences, University of Ghana.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 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 découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».