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Community Health Clinics’ Need for Physical Therapy

Community Health Clinics’ Need for Physical Therapy. Laurie Kertz, MPT Donna Calvert, PT, PhD Rockhurst University. Rationale for this Study. Absence of Physical Therapists (PTs) in Kansas City Community Health Clinics (CHCs)

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Community Health Clinics’ Need for Physical Therapy

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  1. Community Health Clinics’ Need for Physical Therapy Laurie Kertz, MPT Donna Calvert, PT, PhD Rockhurst University

  2. Rationale for this Study • Absence of Physical Therapists (PTs) in Kansas City Community Health Clinics (CHCs) • Lack of research regarding the need for Physical Therapy (PT) services in CHCs

  3. Research Questions (1) most common health conditions (2) frequency of PT referrals (3) what PT services are provided (4) what PT services are needed (5) how receptive CHCs are to PTs (6) the best format for PT in CHCs

  4. Method and Procedure • Questionnaires were developed, and distributed by mail. • SUBJECTS: a random sample of Midwestern CHCs • Reminder postcards • Reminder phone calls

  5. Data Analysis • 87 out of 175 CHCs returned questionnaires • Return Rate = 50% • The questionnaire data was entered into computer spreadsheets. • Frequency & % distributions were calculated.

  6. Results (1) The 5 most common health conditions: • Cardiovascular conditions • Diabetes • Pulmonary conditions • Neck/back pain • Sprains, strains, &/or fractures

  7. Results (2) • Over 85% of CHCs refer patients for Physical Therapy. Physical Therapy Referral History • Frequency: <1 patient/week 39% 1-5 patients/week 46%

  8. Results (3) Current provision of PT services • 86% of CHCs provide at least one PT service on a “periodic” or “often” basis. • The 3 most common PT services: wound management, mobilization, & training for skills needed at home.

  9. Results (3) Current provision of PT services • Over 63% of these CHCs report nurses provide these PT services. • A Physical Therapist provided these services in only 5% of CHCs.

  10. Results (4) Needed Physical Therapy Services • Over 50% of CHCs report a NEED for: + massage + exercise training + mobilization + work hardening / body mechanics

  11. Results (5) CHC Receptivity to PT • Over ¼ of CHCs report willingness to hire a Physical Therapist. • 80% of CHCs report willingness to use a volunteer Physical Therapist.

  12. Results (6) Best format for the provision of PT • at the CHC • during weekday, daytime hours

  13. Conclusion • There is a definite NEED for PHYSICAL THERAPISTS among the CHC team. For an extended abstract or more information: lauriekertz@hotmail.com

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