The ability of Austrian registered physiotherapists to recognize serious pathology.
Clinical decision making
Clinical vignettes
Physical therapy
Red flags
Journal
BMC primary care
ISSN: 2731-4553
Titre abrégé: BMC Prim Care
Pays: England
ID NLM: 9918300889006676
Informations de publication
Date de publication:
30 Oct 2024
30 Oct 2024
Historique:
received:
26
04
2024
accepted:
17
10
2024
medline:
31
10
2024
pubmed:
31
10
2024
entrez:
31
10
2024
Statut:
epublish
Résumé
Serious pathology masking as musculoskeletal conditions is rare, still it is pertinent that physiotherapists can recognise it. This ability has been investigated internationally, however the decision-making skills of registered Austrian physiotherapists has not been examined. The aim of this study was to assess the ability of registered Austrian physiotherapists to make accurate keep-refer decisions based on clinical vignettes. In this national survey registered Austrian (self-)employed physiotherapists were recruited and completed 12 clinical vignettes. Correctly answered vignettes were listed as percentages. 479 physiotherapists participated in the study. The response rate of the self-employed physiotherapists was 8.0%. On average participants classified 70.5% of the musculoskeletal cases, 79.4% of the non-critical medical cases, and 53.3% of the critical medical cases correctly. This study suggests that, despite the limitations of using written clinical vignettes, registered Austrian physiotherapists welcome additional training to improve their skills in identifying serious pathology. Targeted training and educational programs including new and more detailed educational clinical vignettes relevant for non-direct access countries are needed to enhance physiotherapists' diagnostic skills and decision-making processes.
Sections du résumé
BACKGROUND
BACKGROUND
Serious pathology masking as musculoskeletal conditions is rare, still it is pertinent that physiotherapists can recognise it. This ability has been investigated internationally, however the decision-making skills of registered Austrian physiotherapists has not been examined. The aim of this study was to assess the ability of registered Austrian physiotherapists to make accurate keep-refer decisions based on clinical vignettes.
METHODS
METHODS
In this national survey registered Austrian (self-)employed physiotherapists were recruited and completed 12 clinical vignettes. Correctly answered vignettes were listed as percentages.
RESULTS
RESULTS
479 physiotherapists participated in the study. The response rate of the self-employed physiotherapists was 8.0%. On average participants classified 70.5% of the musculoskeletal cases, 79.4% of the non-critical medical cases, and 53.3% of the critical medical cases correctly.
CONCLUSION
CONCLUSIONS
This study suggests that, despite the limitations of using written clinical vignettes, registered Austrian physiotherapists welcome additional training to improve their skills in identifying serious pathology. Targeted training and educational programs including new and more detailed educational clinical vignettes relevant for non-direct access countries are needed to enhance physiotherapists' diagnostic skills and decision-making processes.
Identifiants
pubmed: 39478481
doi: 10.1186/s12875-024-02634-8
pii: 10.1186/s12875-024-02634-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
387Subventions
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Organisme : Gesellschaft für Forschungsförderung Niederösterreich m.b.H. (GFF NÖ)
ID : LS20-009
Informations de copyright
© 2024. The Author(s).
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