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Views of general practitioners toward physiotherapy management of osteoarthritis—a qualitative study

机译：一般从业者对骨科治疗骨关节炎的看法 - 一个定性研究

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Background: Osteoarthritis (OA) is a major cause of pain and physical disability, and general practitioners (GPs) are usually the first point of contact for patients. Physiotherapy has been shown as effective in the management of lower-limb OA. The aim was to explore the beliefs of GPs on the physiotherapy management of lower-limb OA in primary care. Methods: This is a qualitative study evaluating GP views about physiotherapy in Sheffield, South Yorkshire, UK. Participating GPs were recruited by systematic sampling, and invitation was given to GPs in 10 practices in the four localities in Sheffield. Semistructured interviews were completed and framework analysis was used to analyze the data. Results: Eight GPs were interviewed and six themes emerged from analysis of the data: perspective on OA, management strategy, views on patients, views on physiotherapy, working collaboratively, and suggestions for service improvements. GPs had a positive impression and knowledge of physiotherapy, but lacked understanding of the processes involved in treatment and limited awareness of clinical guidelines regarding the management of OA. Improvements in communication and collaborative working were critical issues suggested by the participants. Conclusion: This study found that GPs who were interviewed had a limited understanding on the role of physiotherapists and of clinical guidelines. Interprofessional communication was not as good as it should have been. A reconfiguration of the Sheffield musculoskeletal pathway may help achieve more effective collaborative working and a better outcome for patients.
机译：背景：骨关节炎（OA）是疼痛和身体残疾的主要原因，通用从业者（GPS）通常是患者的第一个接触点。物理疗法已在低肢体OA管理中有效。目的是探讨GPS对初级保健中低肢OA的物理治疗管理的信念。方法：这是一项定性研究，评估英国南约克郡谢菲尔德的物理治疗的GP景观。通过系统采样招募参与的GPS，并在谢菲尔德四个地方的10个实践中给予GPS的邀请。结晶面试完成，使用框架分析来分析数据。结果：采访了八个GPS，六个主题从数据分析中出现：对OA，管理策略，对患者的看法，物理治疗，合作的意见以及服务改进的建议的看法。 GPS具有积极的印象和物理治疗知识，但缺乏对涉及治疗的过程的理解，并对关于OA管理的临床指南有限意识。通信和协作工作的改进是参与者建议的关键问题。结论：本研究发现采访的GPS对物理治疗师和临床指南的作用有限。侦查沟通并不像它应该一样好。谢菲尔德肌肉骨骼途径的重新配置可能有助于实现更有效的协作工作和患者的更好的结果。

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