| Titre : | A physiotherapy led Soft Tissue Injury Clinic is an efficient and cost effective model of care. A paediatric specific interrupted time series study (2022) |
| Auteurs : | Natasha Smith ; Kellie Stockton ; Liam Johnson ; Steven M. McPhail |
| Type de document : | Article |
| Dans : | Physiotherapy (Vol. 116, 2022) |
| Article en page(s) : | p. 72-78 |
| Note générale : | https://doi.org/10.1016/j.physio.2022.01.006 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Analyse coût-bénéfice ; Évaluation économique ; Kinésithérapie (spécialité) ; Orthopédie ; Pédiatrie ; Traumatismes des tissus mous |
| Résumé : |
Objectives : To evaluate the effect of introducing a physiotherapist-led paediatric Soft Tissue Injury Clinic model as an alternative to a medically led Fracture Clinic model for conservative hospital management of soft-tissue injuries on: patient wait times; healthcare resource use; and cost-effectiveness.
Design : Interrupted time-series analysis (including consecutive eligible-cases). Setting : Children’s hospital, Australia. Participants : The study included 245 cases (117 Soft Tissue Injury Clinic model sample, 128 Fracture Clinic model sample) of patients ( Interventions : Patients were referred from the emergency department to either an orthopaedic-led fracture clinic (Fracture Clinic model) or physiotherapist-led clinic (Soft Tissue Injury Clinic model) for follow-up and further management as clinically indicated. Main outcome measures : Time from emergency department discharge to commencement of definitive outpatient management (primary); healthcare resource use and costs from hospital funder perspective (secondary) and cost-per-day less waiting (cost-effectiveness). Results : The Soft Tissue Injury Clinic was associated with (mean per-person difference (95%CI), P-value) fewer wait days (−8 (−11, −5) days, P 99% probability of fewer days waiting, 81% probability of less total cost and 81% probability of dominance (cheaper and fewer days to access definitive care). There were no adverse events in either model. Conclusions : The physiotherapist-led Soft Tissue Injury Clinic represented a safe and efficient alternative referral pathway for patients presenting to the emergency department with soft tissue injuries requiring conservative management. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940622000244 |
Bibliothèques HE Vinci
