Primary contact physiotherapy services reduce waiting and treatment times for patients presenting with musculoskeletal conditions in Australian emergency departments an observational study.pdfVIP

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Primary contact physiotherapy services reduce waiting and treatment times for patients presenting with musculoskeletal conditions in Australian emergency departments an observational study.pdf

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Primary contact physiotherapy services reduce waiting and treatment times for patients presenting with musculoskeletal conditions in Australian emergency departments an observational study.pdf

Journal of Physiotherapy 62 (2016) 209–214 Journal of PHYSIOTHERAPY journal homepage: /locate/jphys Research Primary contact physiotherapy services reduce waiting and treatment times for patients presenting with musculoskeletal conditions in Australian emergency departments: an observational study Sonia Bird, Cristina Thompson, Kathryn E Williams Australian Health Services Research Institute, University of Wollongong, Wollongong, Australia KEY WORDS Primary contact physiotherapist Emergency department Waiting time Treatment time Discharge ABSTRACT Question: Can primary contact physiotherapists reduce waiting and treatment times and facilitate faster discharge in Australian emergency departments9TD[$I0F?]_ Design: Data on patients treated by primary contact physiotherapists were collected prospectively and compared with historical and concurrent cohorts of patients treated by other clinicians, using diagnosis and urgency. Participants: Twenty-nine primary contact physiotherapists, working at 1[F91_TD$]I 0 sites, treated a total of 14 452 patients with musculoskeletal conditions in triage categories 3, 4 and 5. Outcome measures: Data were analysed for two time periods: baseline (historical control) and implementation (12 to 15 months). A concurrent control cohort within the implementation period was selected using diagnosis (ICD-10-AM) and urgency of treatment (triage category). Waiting time, treatment time, and time to discharge from the emergency department were compared across periods and between cohorts. Results: Signi?cant differences were found in waiting and treatment times. On average, patients treated by primary contact physiotherapists waited 31 minutes less than those treated by other practitioners and had an average treatment time of 108 minutes compared with 148 minutes. Overall, 93% of patients treated by primary contact physiotherapists and 75% treated by other practitioners were discharged from the emergency department within a 4-hour time period. To a