Attitudes and Beliefs of Physical Therapists in Saudi Arabia Regarding Direct Access and Scope of Practice
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Keywords

Attitudes
Physical therapist
Scope of practice
Direct access
Saudi Arabia

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1.
Alosaimi S, Alamri R, Alghamdi M. Attitudes and Beliefs of Physical Therapists in Saudi Arabia Regarding Direct Access and Scope of Practice. Integr J Med Sci [Internet]. 2022 Apr. 13 [cited 2022 Aug. 13];9. Available from: https://www.mbmj.org/index.php/ijms/article/view/662

Abstract

Purpose: This study aimed to understand better what practicing physical therapists know and believe about direct access (DA) and scope of practice (SOP) for physical therapy in Saudi Arabia (SA). Methods: A pilot study was first performed to ensure the clarity of the questions. Then, a cross-sectional survey was sent through emails, and social media platforms included three main sections: demographics, opinions, and beliefs questions. Results: A total of 150 respondents met the inclusion criteria. About 55.3% of the participants reported never or rarely using an SOP document as a reference for knowing their practice. Moreover, nearly 48% learned about the SOP through an informal discussion. Only 24.7% of the participants correctly identified which practice setting DA is permitted. Most participants felt confident or strongly confident of their abilities to assess (67.3%) and treat (72%) patients without physicians’ referral. Around 84% of the participants agreed or strongly agreed that DA should be expanded to include all healthcare settings. Conclusion: We found that physical therapists are confident about their ability to treat and assess patients without physicians’ referrals. There is uncertainty about where DA is permitted in SA.

https://doi.org/10.15342/ijms.2022.662
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References

Da Costa BR, Vieira ER. Stretching to reduce work-related musculoskeletal disorders: A systematic review. J Rehabil Med. 2008 May;40(5):321-8. https://doi.org/10.2340/16501977-0204

Briggs AM, Cross MJ, Hoy DG, Sànchez-Riera L, Blyth FM, Woolf AD, et al. Musculoskeletal health conditions represent a global threat to healthy aging: A report for the 2015 world health organization world report on ageing and health. Gerontologist. 2016 Apr;56 Suppl 2:S243-55. https://doi.org/10.1093/geront/gnw002

World report on ageing and health World Health Organization. 2015. [Accessed 2022 Apr 12]. Available from: https://apps.who.int/iris/handle/10665/186463

Musculoskeletal conditions | World Health Organization. 2019. [Accessed 2022 Apr 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions

Robert G, Stevens A. Should general practitioners refer patients directly to physical therapists? Br J Gen Pract. 1997 May;47(418):314-8.

Ojha HA, Snyder RS, Davenport TE. Direct access compared with referred physical therapy episodes of care: A systematic review. Phys Ther. 2014 Jan;94(1):14-30. https://doi.org/10.2522/ptj.20130096

Saudi Physical Therapy Association | World Physiotherapy. 2020. [Accessed 2022 Apr 12]. Available from: https://world.physio/membership/saudi-arabia

Policy statement: Autonomy | World Physiotherapy. 2019. [Accessed 2022 Apr 12]. Available from: https://world.physio/policy/ps-autonomy

Aljuaid M, Mannan F, Chaudhry Z, Rawaf S, Majeed A. Quality of care in university hospitals in Saudi Arabia: A systematic review. BMJ Open. 2016 Feb 25;6(2):e008988. https://doi.org/10.1136/bmjopen-2015-008988

Burn D, Beeson E. Orthopaedic triage: cost effectiveness, diagnostic/surgical and management rates. Clinic Gover Intern J. 2014; 19(2):126–136. https://doi.org/10.1108/CGIJ-12-2013-0041

de Gruchy A, Granger C, Gorelik A. Physical therapists as primary practitioners in the emergency department: Six-month prospective practice analysis Phys Ther. 2015 Sep;95(9):1207-16. https://doi.org/10.2522/ptj.20130552

Balogun JA, Aka PC, Balogun AO, Mbada C, Okafor U. Evolution of physical therapy education in Australia, United Kingdom, United States of America, and Nigeria: A comparative analysis. Internat Med J. 2018; 25(2):103–107.

Medicines, prescribing and injection therapy | The Chartered Society of Physiotherapy. 2020. [Accessed 2022 Apr 12]. Available from: https://www.csp.org.uk/professional-clinical/professional-guidance/medicines-prescribing-injection-therapy

Scope of Practice | APTA. 2019. [Accessed 2022 Apr 12]. Available from: https://www.apta.org/your-practice/scope-of-practice

Alghadir A, Zafar H, Iqbal ZA, Anwer S. Physical therapy education in Saudi Arabia. J Phys Ther Sci. 2015 May;27(5):1621-3. https://doi.org/10.1589/jpts.27.1621

Institute of Medicine (US) Committee on the Future of Primary Care Molla Donaldson, Karl Yordy, Neal Vanselow , Defining Primary Care. Washington, D.C.: National Academies Press. 1994. https://doi.org/10.17226/9153

Aiken AB, Harrison MM, Atkinson M, Hope J. Easing the burden for joint replacement wait times: The role of the expanded practice physiotherapist. Healthc Q. 2008;11(2):62-6. https://doi.org/10.12927/hcq.2008.19618

Froment FP, Olson KA, Hooper TL, Shaffer SM, Sizer PS, Woodhouse LJ, et al. Large variability found in musculoskeletal physiotherapy scope of practice throughout WCPT and IFOMPT affiliated countries: An international survey. Musculoskelet Sci Pract. 2019 Jul;42:104-119. https://doi.org/10.1016/j.msksp.2019.04.012

Desmeules F, Roy JS, MacDermid JC, Champagne F, Hinse O, Woodhouse LJ. Advanced practice physiotherapy in patients with musculoskeletal disorders: A systematic review. BMC Musculoskelet Disord. 2012 Jun 21;13:107. https://doi.org/10.1186/1471-2474-13-107

Piscitelli D, Furmanek MP, Meroni R, De Caro W, Pellicciari L. Direct access in physical therapy: A systematic review. Clin Ter. 2018 Sep-Oct;169(5):e249-e260. https://doi.org/10.7417/ct.2018.2087

Alshehri MA, Alhasan H, Alayat M, Al-Subahi M, Yaseen K, Ismail A, et al. Factors affecting the extent of utilization of physiotherapy services by physicians in Saudi Arabia. J Phys Ther Sci. 2018 Feb;30(2):216-222. https://doi.org/10.1589/jpts.30.216

Gentle PH, Herlihy PJ, Roxburgh IO. Controlled trial of an open-access physiotherapy service. J R Coll Gen Pract. 1984 Jul;34(264):371-6.

Norman P, Clifton H, Williams E, Nichols PJ. Access by general practitioners to physiotherapy department of a district general hospital. BMJ. 1975;4(5990): 220–221. https://doi.org/10.1136/bmj.4.5990.220

Mohammed J, Alhamidah M, Alammar R, Jawkhab M, Bukhari L. Awareness and knowledge of physical therapy among saudi arabia adult population. J Physiother Rehabil. 2018. https://doi.org/10.4172/jptr.1000114

Al-Eisa ES, Al-Hoqail H, Al-Rushud AS, Al-Harthi A, Al-Mass B, Al-Harbi BM, et al. Awareness, perceptions and beliefs about physiotherapy held by physicians working in Saudi Arabia: A cross-sectional study. J Phys Ther Sci. 2016 Dec;28(12):3435-3439. https://doi.org/10.1589/jpts.28.3435

Holdsworth LK, Webster VS, McFadyen AK. Physiotherapists’ and general practitioners’ views of self-referral and physiotherapy scope of practice: Results from a national trial. Physiotherapy. 2008:94(3): 236–243. https://doi.org/10.1016/j.physio.2008.01.006

Bindawas SM, Vennu V, Azer SA. Are physical therapy interns competent in-patient management skills? Assessment of the views of clinical and academic physical therapists. J Phys Ther Sci. 2013 May;25(5):649-55. https://doi.org/10.1589/jpts.25.649

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Copyright (c) 2021 Safwan M. Alosaimi, Raed A. Alamri, Maher A. Alghamdi

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