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首页> 外文期刊>Physiotherapy theory and practice >Obstacles to the implementation of evidence-based physiotherapy in practice: a focus group-based study in Belgium (Flanders).
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Obstacles to the implementation of evidence-based physiotherapy in practice: a focus group-based study in Belgium (Flanders).

机译：在实践中实施循证物理治疗的障碍：比利时一项基于焦点小组的研究（法兰德斯）。

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摘要

Over the past few years concerns have been rising about the use of Evidence-Based Practice (EBP). We explored obstacles among Belgian physiotherapists to the implementation of EBP in clinical work. We used a qualitative research strategy based on five focus groups, organised between October 2004 and May 2005. Purposeful sampling was used to recruit 43 participants from diverse geographical regions in Flanders, working in different settings and with a variety of interest and expertise in EBP. Data collection and analysis were concurrent and guided by grounded theory approach. the implementation of EBP include physiotherapists' lack of autonomy and authority to decide on patients' treatments or to negotiate with government. In addition, the lack of evidence, inaccessibility and inapplicability of scientific evidence, the economic parameters influencing government and physicians, the expectations from patients and a lack of motivation hamper the implementation of EBP. The problem tree developed reveals direct links between the lack of autonomy from physiotherapists and the dominant position from physicians in the Belgian health care system, which further impacts the boundaries between both professions and the weight of physiotherapists in governmental advisory boards. Direct access to physiotherapy has not yet been considered in Belgium. However, it could have major advantages for physiotherapists who are in favour of a more autonomous, professional status.
机译：在过去的几年中，人们越来越关注基于证据的实践（EBP）的使用。我们探索了比利时物理治疗师在临床工作中实施EBP的障碍。我们采用了基于五个焦点小组的定性研究策略，该小组在2004年10月至2005年5月之间进行了组织。有目的的抽样被用来招募来自法兰德斯不同地理区域的43名参与者，他们在不同的环境中工作，并且对EBP感兴趣并具有多种专长。数据收集和分析是并发的，并以扎根的理论方法为指导。 EBP的实施包括物理治疗师缺乏自主权和决定患者治疗或与政府协商的权力。此外，缺乏证据，科学证据难以获得和不适用，影响政府和医生的经济参数，患者的期望以及缺乏动力阻碍了EBP的实施。问题树的发展揭示了物理治疗师缺乏自主权与比利时医疗保健体系中医生的主导地位之间的直接联系，这进一步影响了这两个专业之间的界限以及政府咨询委员会中物理治疗师的权重。比利时尚未考虑直接使用物理疗法。但是，对于主张更自主，专业的地位的物理治疗师而言，这可能具有主要优势。

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