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首页> 外文期刊>Musculoskeletal care. >Is Physiotherapy Self-Referral with Telephone Triage Viable, Cost-effective and Beneficial to Musculoskeletal Outpatients in a Primary Care Setting?
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Is Physiotherapy Self-Referral with Telephone Triage Viable, Cost-effective and Beneficial to Musculoskeletal Outpatients in a Primary Care Setting?

机译：在初级保健机构中，通过电话分类进行理疗自转诊是否可行，具有成本效益并且对肌肉骨骼门诊患者有利？

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Objective: The aim of the present study was to establish if physiotherapy self-referral (SR) is viable, cost effective and beneficial to musculoskeletal outpatients in a primary care setting. Setting: In an urban National Health Service (NHS) primary care physiotherapy service, waiting times, attendance rates and treatment ratios (thus, episode-of-care costs) were deemed unsustainable. The introduction of 'Any Qualified Provider' is imminent and will drive NHS physiotherapy services to compete directly with private counterparts. Current literature, healthcare policy and the Chartered Society of Physiotherapy strongly advocate SR to promote value for money and improve the patient experience. Design: A repeated measure prospective cohort study introduced an SR pathway parallel to existing general practice (GP) referrals and compared costs, attendance and data relating to the patient experience across groups. Results: SR referral groups were found to have a higher proportion of female patients presenting with acute conditions. Cost minimization analysis indicated an average 32.3% reduction in episode-of-care cost with an SR-initiated intervention. An estimated cost minimization of between ￡84,387.80 and ￡124,472.06 was calculated if SR were to be expanded service-wide. SR referral reduced waiting times and improved patient satisfaction relating to waiting times and communication compared with traditional pathways. Conclusions: The results of the present study showed that the introduction of the described SR pathway was feasible, cost-effective and offered comparable care. Certain aspects of the SR patient experience compared more favourably than those studied in traditional GP referral routes. They also added to an existing body of evidence supporting SR with a variety of administrative processes in various socioeconomic settings.
机译：目的：本研究的目的是确定物理治疗自我推荐（SR）在初级保健机构中是否可行，具有成本效益并且对肌肉骨骼门诊患者有利。地点：在城市国家卫生局（NHS）的初级保健理疗服务中，轮候时间，出勤率和治疗率（因此，保健费用）被认为是不可持续的。即将推出“任何合格提供者”，这将推动NHS理疗服务直接与私人同行竞争。当前的文献，医疗保健政策和英国物理治疗学会都大力倡导SR，以提高成本效益并改善患者体验。设计：一项重复测量的前瞻性队列研究引入了与现有全科医师（GP）转诊平行的SR途径，并比较了各组患者经历的相关成本，出勤率和数据。结果：SR转诊组发现患有急性疾病的女性患者比例更高。成本最小化分析表明，通过SR干预，护理费用平均降低了32.3％。如果要在整个服务范围内扩展SR，则估计的最小化成本在84,387.80英镑与124,472.06英镑之间。与传统途径相比，SR转诊减少了等待时间并提高了与等待时间和沟通有关的患者满意度。结论：本研究的结果表明，引入所描述的SR途径是可行的，具有成本效益的并且提供了可比的护理。与传统GP转诊途径相比，SR患者经历的某些方面更具优势。他们还增加了现有证据，以各种社会经济背景下的各种行政程序来支持SR。

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