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At least 19 recordsLinked to original sources

Physical and occupational therapy for arthritic patients: a cooperative effort among hospital departments.

The importance of a team approach for optimum management of arthritis is recognized, but small hospitals and clinics may have difficulty supporting a team when the number of arthritic patients treated by any one department is not large. A cooperative effort of our 500-bed hospital's sections of rheumatology, physical medicine, and orthopedic surgery provides a physical therapist and an occupational therapist to work exclusively with arthritic patients. By working across departmental lines the therapists perform enough services to pay their salaries. Patients benefit not only from the availability of therapist specialists but also from continuity of care. Presence of the therapists has permitted extension of care to a satellite clinic and to patients' homes. The cooperating sections have acquired personnel and capabilities not available to them if acting independently.

Arthritis↗

Intrinsic and extrinsic predictors of work satisfaction in ambulatory care and hospital settings.

This study assessed the ability of selected intrinsic and extrinsic variables to predict allied health practitioners' work satisfaction in ambulatory care and hospital settings. A total of 413 occupational and physical therapists in Virginia, North Carolina, and South Carolina provided data via a mailed survey. Multiple regression analyses examined the predictive power of selected intrinsic and extrinsic variables upon therapists' work satisfaction in the ambulatory care and hospital setting. The regression model for therapists in ambulatory care settings was a better predictor of work satisfaction than the model for therapists in the hospital setting. Results indicated that respondents' intrinsic orientation toward their work, and their perception of the general working conditions in the organization were two of the strongest predictors of their work satisfaction in the ambulatory care and hospital setting. The findings provide information that can be useful in developing recruitment and retention strategies in both work settings.

Adult↗

Selection of clinical education centers in physical therapy.

With the growing importance placed on the clinical portion of the educational preparation of health care professionals, standards with which to evaluate potential clinical education centers are needed. The primary purpose of the two-year Project on Selection of Clinical Education Sites was to provide the physical therapy profession with a set of standards and relevant evaluation forms that are clear, practical, reliable, and valid. The standards and forms can be used in all types of centers and during all phases of clinical education. This article presents the results of the project: a set of 20 standards that have been tested in a nationwide multiphase study and three evaluation forms that can be used with the standards to evaluate a clinical education program. The evaluation process based on the use of these materials has been demonstrated to be reliable and valid. The standards and evaluation forms have applicability for other allied health disciplines that use a pattern of clinical education similar to that in physical therapy education.

Clinical Clerkship↗

The effect of clinical education programs on hospital production.

Because of rising hospital costs and the reluctance of third-party payers to reimburse for clinical training, major questions have been raised about the costs and benefits of these programs. The effect of student programs on production has, nonetheless, been largely neglected, in part because of the difficulty of measuring the effectiveness of these programs. To address this deficiency, multiple regression analysis was used to determine the impact of physical therapy, occupational therapy, and radiologic technology students on production in a large hospital in a metropolitan area. The impact of students on departmental output in all three areas was found to be positive.

Clinical Clerkship↗

Rehabilitation after hip fracture--equal opportunity for all?

OBJECTIVES: To determine whether factors unrelated to clinical appropriateness affect use of physical and occupational therapy (PT/OT) in elderly Medicare patients with acute hip fracture. DESIGN: Bivariate and multivariate analysis of detailed clinical data retrospectively gathered from medical records and of nonclinical variables obtained through linkage with the American Hospital Association data base. SETTING: 297 randomly selected hospitals from 5 states. PATIENTS: 2,762 elderly Medicare patients hospitalized with a primary diagnosis of acute hip fracture who were hospitalized during 1981-1982 or 1985-1986. INTERVENTION: Observational study. MAIN OUTCOME MEASURES: Initiation and intensity of PT/OT while in the acute hospital. RESULTS: We found evidence that factors not relevant to clinical appropriateness, such as race, hospital size, and state, significantly affect whether patients receive any PT/OT after acute fracture, as well as the intensity of PT/OT. For example, after controlling for patient clinical characteristics, we found that 63% of African-American patients received low-intensity PT/OT in comparison to 43% among non-African-American, and we found threefold differences among states both in initiation of PT/OT and in the intensity of its use. Overall, clinical characteristics had relatively greater influence on whether patients started PT/OT, whereas factors not relevant to clinical appropriateness had relatively greater influence on how much rehabilitation was provided. CONCLUSION: There are significant disparities in use of rehabilitation after hip fracture, only partially explained by patient clinical characteristics. Factors without obvious relevance to the clinical appropriateness of PT/OT exert a significant influence on use of rehabilitation services, particularly on the intensity of their use.

Black or African American↗

[Equipment provision problems in physiotherapy departments (offices)].

The advance in the field of physiotherapeutic aid for patients depends strongly on how correct and systematic the approach to the arrangement of physiotherapeutic department will be provided. In this connection, the perspectives of technical provision for physiotherapeutic service are outlined.

Electronics, Medical↗

Productivity among physical therapists. An evaluation of one department.

This article describes a method for evaluating the productivity of therapists in a physical therapy department. I applied this method for 20 days in one department of an acute-care hospital and used the data collected to establish a standard based on the best performance by an individual therapist. I found this method could substantially improve the performance of individual therapists and the department as a whole. If all therapists in the department were as productive as the most productive therapist, the dollar sum of procedures performed would be at least $250,000 greater than if the average performance level continued.

Costs and Cost Analysis↗

An analysis and comparison of the educational costs of clinical placements for occupational therapy, physical therapy, and speech pathology and audiology students.

The purpose of this paper is to describe the methodology and summarize the results of a study of the educational costs of clinical placement for students in occupational therapy, physical therapy, and speech pathology and audiology at The University of British Columbia. The sample represented 42.9% of the facilities offering occupational therapy placements, 41.4% of those offering physical therapy placements, and 52.4% of those offering speech pathology and audiology placements. During a 12-month period, these facilities provided 77.3% of the total clinical hours for the occupational therapy students, 65.1% for the physical therapy students, and 66.1% for the speech pathology and audiology students. Estimates of the number of hours of single-purpose and joint-purpose instructional activities and percentage estimates of direct-contact time were used as a basis for calculating the costs to facilities of accepting students for clinical placement. The methodology permitted comparisons of these costs across health disciplines. Both the methodology and the findings of this study can help government, educational institutions, and clinical facilities in defining policies and funding mechanisms for clinical training programs.

Audiology↗

Factors influencing enrollment in a physiotherapy degree-completion program in Atlantic Canada: a survey.

The purpose of this study was to identify factors that influence enrollment in Dalhousie University's BSc (PT) degree-completion program. A geographically stratified, random sample of 100 nondegree physiotherapists practising in Atlantic Canada was surveyed by mail. The questionnaire solicited information on demographic data, program awareness and attitudes towards degree-completion programs. The response rate was 63 percent. More than 65 percent of respondents were trained in Canada, were older than 30 years, and had at least one child. Ninety percent of respondents were aware of the Dalhousie program; seven were currently enrolled. Ninety-three percent of respondents were confident they could continue to practise without a degree and 70 percent were confident they could meet academic standards required to complete a degree. Respondents were least certain on whether employers valued experience over a degree. Family responsibilities, age over 50, and job security were deterrents to enrollment. Nondegree physiotherapists in Atlantic Canada may not choose to upgrade to a degree because of the regional manpower shortage and job security. A strong pool of degree-completion students was not identified.

Canada↗