Service provider perceptions of telerehabilitation as an additional service delivery option within an Australian neurosurgical and orthopaedic physiotherapy screening clinic: A qualitative study

Michelle A Cottrell; Anne J Hill; Shaun P O'Leary; Maree E Raymer; Trevor G Russell

doi:10.1016/j.msksp.2017.07.008

Service provider perceptions of telerehabilitation as an additional service delivery option within an Australian neurosurgical and orthopaedic physiotherapy screening clinic: A qualitative study

Musculoskelet Sci Pract. 2017 Dec:32:7-16. doi: 10.1016/j.msksp.2017.07.008. Epub 2017 Aug 1.

Authors

Michelle A Cottrell¹, Anne J Hill², Shaun P O'Leary³, Maree E Raymer⁴, Trevor G Russell²

Affiliations

¹ School of Health and Rehabilitation Science, University of Queensland, Queensland, Australia; Centre for Research Excellence in Telehealth, University of Queensland, Queensland, Australia; Physiotherapy Department, Ipswich Hospital, Queensland, Australia. Electronic address: michelle.cottrell@uqconnect.edu.au.
² School of Health and Rehabilitation Science, University of Queensland, Queensland, Australia; Centre for Research Excellence in Telehealth, University of Queensland, Queensland, Australia.
³ School of Health and Rehabilitation Science, University of Queensland, Queensland, Australia; Physiotherapy Department, Royal Brisbane & Women's Hospital, Queensland, Australia; State-wide Neurosurgical and Orthopaedic Physiotherapy Screening Clinic & Multidisciplinary Service, Metro North Hospital & Health Service, Queensland, Australia.
⁴ Physiotherapy Department, Royal Brisbane & Women's Hospital, Queensland, Australia; State-wide Neurosurgical and Orthopaedic Physiotherapy Screening Clinic & Multidisciplinary Service, Metro North Hospital & Health Service, Queensland, Australia.

PMID: 28787636
DOI: 10.1016/j.msksp.2017.07.008

Abstract

Background: The Neurosurgical & Orthopaedic Physiotherapy Screening Clinic and Multidisciplinary Service (N/OPSC&MDS) originated as a complementary, non-surgical pathway for patients referred to public neurosurgical and orthopaedic specialist services. Patient access to the N/OPSC&MDS could potentially be improved with the implementation of telerehabilitation as an additional method of service delivery.

Objective: To evaluate service provider's views on (1) current barriers to patients' accessing N/OPSC & MD services, and (2) the implementation of telerehabilitation within the N/OPSC&MDS.

Design: Qualitative descriptive study design.

Methods: Healthcare providers (n = 26) were recruited from six N/OPSC&MD services located throughout Queensland, Australia. Semi-structured interviews were conducted to explore service providers' views with respect to existing barriers to patients accessing the N/OPSC&MDS, and if telerehabilitation could be feasibly adopted to address current barriers.

Results: Template analysis resulted in six themes: (1) barriers to some patients' accessing current N/OPSC&MD services are complex & multifaceted; (2) telerehabilitation could improve patient access to appropriate management for their musculoskeletal condition; (3) telerehabilitation may have limitations when compared to face-to-face healthcare; (4) the delivery of telerehabilitation needs to be flexible; (5) perceived barriers, and (6) facilitators to the successful implementation of telerehabilitation within the N/OPSC&MDS.

Conclusion: This study represents a critical step in determining the readiness of service providers for the implementation of telerehabilitation within the N/OPSC&MDS. Although cautious, service providers are overall accepting of the implementation of telerehabilitation, acknowledging that it could eliminate several current barriers, subsequently achieving more equitable access to the service.

Keywords: Implementation; Neurosurgical; Orthopaedic; Qualitative; Telehealth.

Publication types

Multicenter Study

MeSH terms

Adult
Attitude of Health Personnel
Australia
Delivery of Health Care / methods*
Female
Health Personnel / psychology*
Humans
Male
Middle Aged
Musculoskeletal Diseases / rehabilitation*
Neurosurgery / methods*
Orthopedics / methods*
Physical Therapy Modalities*
Qualitative Research
Racial Groups
Telerehabilitation / methods*