Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , |
| Tipo de documento: | Artigo |
| Idioma: | eng por |
| Título da fonte: | Fisioterapia em Movimento |
| Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/27975 |
Resumo: | Introduction: Protocols to organize the flow of treatment between primary and secondary healthcare levels help physiotherapists working in Primary Health Care (PHC) determine which cases will remain at the primary level and which should be referred to the secondary level for specialized treatment. Objective: Assess the agreement between the clinical perception of physiotherapists and the protocol in organizing the flow of physiotherapy patients. Method: This is a methodological cross-sectional study based on the analysis of secondary data, recorded on a service spreadsheet, with respect to the clinical perception of 4 physiotherapists working in PHC and the protocol they apply to determine the urgency for referral to the secondary care level, considering physiotherapy specialties. Assessment was expressed as the percentage agreement, magnitude and significance according to the Kappa test, with >0.80 considered perfect agreement. Analyses were conducted using SPSS 21.0 statistical software at a significance level of α= 0.05. Results: In 619 of 715 referrals, the perception of physiotherapists corroborated with the protocol in terms of patient referral to the secondary service. The percentage agreement for urgency classification in the total sample was 71% and the Weighted Kappa index 0.3710 (CI95% 0.3029-0.4391). The instrument exhibited high agreement in the areas of musculoskeletal physiotherapy (94.7%) and gerontology (98.2%), and low in urogynecology (27.6%). Conclusion: The protocol showed a high percentage of agreement and may be an important instrument in organizing the flow of physiotherapy services and could be enhanced for use in other specialties. |
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Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocolOrganização do fluxo de serviços fisioterapêuticos: concordância entre percepção clínica e protocoloPhysiotherapy. Health Regulation and Inspection. Primary Health Care. Secondary Health Care.Fisioterapia. Regulação e Fiscalização em Saúde. Atenção Primária à Saúde. Atenção Secundária à Saúde.Introduction: Protocols to organize the flow of treatment between primary and secondary healthcare levels help physiotherapists working in Primary Health Care (PHC) determine which cases will remain at the primary level and which should be referred to the secondary level for specialized treatment. Objective: Assess the agreement between the clinical perception of physiotherapists and the protocol in organizing the flow of physiotherapy patients. Method: This is a methodological cross-sectional study based on the analysis of secondary data, recorded on a service spreadsheet, with respect to the clinical perception of 4 physiotherapists working in PHC and the protocol they apply to determine the urgency for referral to the secondary care level, considering physiotherapy specialties. Assessment was expressed as the percentage agreement, magnitude and significance according to the Kappa test, with >0.80 considered perfect agreement. Analyses were conducted using SPSS 21.0 statistical software at a significance level of α= 0.05. Results: In 619 of 715 referrals, the perception of physiotherapists corroborated with the protocol in terms of patient referral to the secondary service. The percentage agreement for urgency classification in the total sample was 71% and the Weighted Kappa index 0.3710 (CI95% 0.3029-0.4391). The instrument exhibited high agreement in the areas of musculoskeletal physiotherapy (94.7%) and gerontology (98.2%), and low in urogynecology (27.6%). Conclusion: The protocol showed a high percentage of agreement and may be an important instrument in organizing the flow of physiotherapy services and could be enhanced for use in other specialties.Introdução: Protocolos para organização do fluxo dos atendimentos entre os níveis primário e secundário de atenção ajudam o fisioterapeuta atuante na Atenção Primária a Saúde (APS) a determinar quais casos serão mantidos no primeiro nível e quais devem ser encaminhados para o nível secundário, onde receberão atendimento especializado. Objetivo: Avaliar a concordância entre percepção clínica dos fisioterapeutas e protocolo na organização do fluxo de usuários de serviço de fisioterapia. Método: Estudo transversal metodológico baseado em análise de dados secundários, registrados em planilha do serviço, referentes a percepção clínica de 4 fisioterapeutas atuantes na APS e protocolo aplicado por eles para determinação do encaminhamento e caráter de urgência para o nível secundário da rede de atenção, considerando as especialidades da Fisioterapia. A avaliação expressou-se pelo percentual de concordância, magnitude e significância pelo teste Kappa, considerando >0,80 concordância perfeita. As análises foram realizadas no pacote estatístico SPPS 21.0, nível de significância α= 0,05. Resultados: Considerando 715 encaminhamentos, em 619 a percepção dos fisioterapeutas corroborou com a determinação do protocolo em relação ao encaminhamento do usuário para o serviço secundário. O percentual de concordância relativo à classificação urgência, na amostra total, foi de 71% e o índice de Kappa Ponderado foi 0,3710 (IC95% 0,3029-0,4391). O instrumento apresentou maior concordância nas áreas da fisioterapia Muscoloesquelética (94,7%) e Gerontologia (98,2%), e menor concordância na Uroginecologia (27,6%). Conclusão: O protocolo apresentou importante percentual de concordância, podendo ser instrumento importante na organização de fluxos de serviços de fisioterapia, e ser aprimorado para o uso em várias especialidades.Editora PUCPRESS2021-01-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2797510.1590/fm.2021.34107Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 34 (2021): n. cont.Fisioterapia em Movimento; v. 34 (2021): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/27975/pdf_1https://periodicos.pucpr.br/fisio/article/view/27975/pdfCopyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessMoreira, Lorrane BrunelleCruz, Fernanda Lurdes SouzaSilva, Túlio Lima daSilva, Silvia Lanziotti de Azevedo2022-03-07T19:02:53Zoai:ojs.periodicos.pucpr.br:article/27975Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:02:53Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
| dc.title.none.fl_str_mv |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol Organização do fluxo de serviços fisioterapêuticos: concordância entre percepção clínica e protocolo |
| title |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol |
| spellingShingle |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol Moreira, Lorrane Brunelle Physiotherapy. Health Regulation and Inspection. Primary Health Care. Secondary Health Care. Fisioterapia. Regulação e Fiscalização em Saúde. Atenção Primária à Saúde. Atenção Secundária à Saúde. |
| title_short |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol |
| title_full |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol |
| title_fullStr |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol |
| title_full_unstemmed |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol |
| title_sort |
Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol |
| author |
Moreira, Lorrane Brunelle |
| author_facet |
Moreira, Lorrane Brunelle Cruz, Fernanda Lurdes Souza Silva, Túlio Lima da Silva, Silvia Lanziotti de Azevedo |
| author_role |
author |
| author2 |
Cruz, Fernanda Lurdes Souza Silva, Túlio Lima da Silva, Silvia Lanziotti de Azevedo |
| author2_role |
author author author |
| dc.contributor.author.fl_str_mv |
Moreira, Lorrane Brunelle Cruz, Fernanda Lurdes Souza Silva, Túlio Lima da Silva, Silvia Lanziotti de Azevedo |
| dc.subject.por.fl_str_mv |
Physiotherapy. Health Regulation and Inspection. Primary Health Care. Secondary Health Care. Fisioterapia. Regulação e Fiscalização em Saúde. Atenção Primária à Saúde. Atenção Secundária à Saúde. |
| topic |
Physiotherapy. Health Regulation and Inspection. Primary Health Care. Secondary Health Care. Fisioterapia. Regulação e Fiscalização em Saúde. Atenção Primária à Saúde. Atenção Secundária à Saúde. |
| description |
Introduction: Protocols to organize the flow of treatment between primary and secondary healthcare levels help physiotherapists working in Primary Health Care (PHC) determine which cases will remain at the primary level and which should be referred to the secondary level for specialized treatment. Objective: Assess the agreement between the clinical perception of physiotherapists and the protocol in organizing the flow of physiotherapy patients. Method: This is a methodological cross-sectional study based on the analysis of secondary data, recorded on a service spreadsheet, with respect to the clinical perception of 4 physiotherapists working in PHC and the protocol they apply to determine the urgency for referral to the secondary care level, considering physiotherapy specialties. Assessment was expressed as the percentage agreement, magnitude and significance according to the Kappa test, with >0.80 considered perfect agreement. Analyses were conducted using SPSS 21.0 statistical software at a significance level of α= 0.05. Results: In 619 of 715 referrals, the perception of physiotherapists corroborated with the protocol in terms of patient referral to the secondary service. The percentage agreement for urgency classification in the total sample was 71% and the Weighted Kappa index 0.3710 (CI95% 0.3029-0.4391). The instrument exhibited high agreement in the areas of musculoskeletal physiotherapy (94.7%) and gerontology (98.2%), and low in urogynecology (27.6%). Conclusion: The protocol showed a high percentage of agreement and may be an important instrument in organizing the flow of physiotherapy services and could be enhanced for use in other specialties. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-01-26 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://periodicos.pucpr.br/fisio/article/view/27975 10.1590/fm.2021.34107 |
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https://periodicos.pucpr.br/fisio/article/view/27975 |
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10.1590/fm.2021.34107 |
| dc.language.iso.fl_str_mv |
eng por |
| language |
eng por |
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https://periodicos.pucpr.br/fisio/article/view/27975/pdf_1 https://periodicos.pucpr.br/fisio/article/view/27975/pdf |
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Copyright (c) 2022 PUCPRESS info:eu-repo/semantics/openAccess |
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Copyright (c) 2022 PUCPRESS |
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openAccess |
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application/pdf application/pdf |
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Editora PUCPRESS |
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Editora PUCPRESS |
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Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 34 (2021): n. cont. Fisioterapia em Movimento; v. 34 (2021): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
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Pontifícia Universidade Católica do Paraná (PUC-PR) |
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PUC_PR |
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PUC_PR |
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Fisioterapia em Movimento |
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Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
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rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138749473357824 |