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Titre : | Evaluation of the First Contact Physiotherapy (FCP) model of primary care: patient characteristics and outcomes (2021) |
Auteurs : | S. Stynes ; K.P. Jordan ; J. C. Hill ; G. Wynne-Jones ; E. Cottrell ; N.E. Foster ; R. Goodwin ; A. Bishop |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 113, 2021) |
Article en page(s) : | p. 199-208 |
Note générale : | https://doi.org/10.1016/j.physio.2021.08.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Appareil locomoteur ; Manipulations de l'appareil locomoteur ; Pratique professionnelle ; Soins de santé primaires |
Résumé : |
Objective
First Contact Physiotherapy (FCP) is a primary care model where expert musculoskeletal (MSK) physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity. The authors report the quantitative findings from the FCP National Evaluation (Phase 3) which evaluated the FCP model against success criteria. Design and setting A mixed-methods 24-month service evaluation involving 40 FCP sites and 240 FCPs across England. Methods An online platform collected patient-reported experience and outcomes following the FCP consultation and at 1, 2 and 3-months follow-up. These included the Keele STarT MSK Tool, pain intensity (010 NRS scale), Musculoskeletal Health Questionnaire (MSK-HQ, range 056), and Friends-and-Family Test. Results Over 13 months, 2825 patients were invited by email and 24% (n = 680) completed their initial questionnaire. Their mean age was 56.2 (SD 14.9), 61% were female, ethnicity was 97% white, mean pain intensity was 6.1 (SD 2.13) and mean MSK-HQ score was 33.8 (SD 9.5). At 3-months follow-up (n = 370) there was a 2.8 (CI 2.5 to 3.1) mean pain intensity reduction from baseline, a mean 7.1 (6.0 to 8.2) score improvement in MSK-HQ and 64% reporting overall improvement (much better/better) since seeing the FCP. One of the six success criteria was not met; 29% of those in employment reported receiving specific work advice from the FCP (target ≥75%). Conclusion Ahead of the planned scale-up of the FCP primary care model across the UK, this evaluation provides useful data on patients who access this service, their short-term clinical outcomes and whether key success criteria are being met. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940621000742#! |