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Physiotherapy practice in the private sector: organizational characteristics and models

BACKGROUND: Even if a large proportion of physiotherapists work in the private sector worldwide, very little is known of the organizations within which they practice. Such knowledge is important to help understand contexts of practice and how they influence the quality of services and patient outcom...

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Autores principales: Perreault, Kadija, Dionne, Clermont E, Rossignol, Michel, Poitras, Stéphane, Morin, Diane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161767/
https://www.ncbi.nlm.nih.gov/pubmed/25168160
http://dx.doi.org/10.1186/1472-6963-14-362
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author Perreault, Kadija
Dionne, Clermont E
Rossignol, Michel
Poitras, Stéphane
Morin, Diane
author_facet Perreault, Kadija
Dionne, Clermont E
Rossignol, Michel
Poitras, Stéphane
Morin, Diane
author_sort Perreault, Kadija
collection PubMed
description BACKGROUND: Even if a large proportion of physiotherapists work in the private sector worldwide, very little is known of the organizations within which they practice. Such knowledge is important to help understand contexts of practice and how they influence the quality of services and patient outcomes. The purpose of this study was to: 1) describe characteristics of organizations where physiotherapists practice in the private sector, and 2) explore the existence of a taxonomy of organizational models. METHODS: This was a cross-sectional quantitative survey of 236 randomly-selected physiotherapists. Participants completed a purpose-designed questionnaire online or by telephone, covering organizational vision, resources, structures and practices. Organizational characteristics were analyzed descriptively, while organizational models were identified by multiple correspondence analyses. RESULTS: Most organizations were for-profit (93.2%), located in urban areas (91.5%), and within buildings containing multiple businesses/organizations (76.7%). The majority included multiple providers (89.8%) from diverse professions, mainly physiotherapy assistants (68.7%), massage therapists (67.3%) and osteopaths (50.2%). Four organizational models were identified: 1) solo practice, 2) middle-scale multiprovider, 3) large-scale multiprovider and 4) mixed. CONCLUSIONS: The results of this study provide a detailed description of the organizations where physiotherapists practice, and highlight the importance of human resources in differentiating organizational models. Further research examining the influences of these organizational characteristics and models on outcomes such as physiotherapists’ professional practices and patient outcomes are needed.
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spelling pubmed-41617672014-09-13 Physiotherapy practice in the private sector: organizational characteristics and models Perreault, Kadija Dionne, Clermont E Rossignol, Michel Poitras, Stéphane Morin, Diane BMC Health Serv Res Research Article BACKGROUND: Even if a large proportion of physiotherapists work in the private sector worldwide, very little is known of the organizations within which they practice. Such knowledge is important to help understand contexts of practice and how they influence the quality of services and patient outcomes. The purpose of this study was to: 1) describe characteristics of organizations where physiotherapists practice in the private sector, and 2) explore the existence of a taxonomy of organizational models. METHODS: This was a cross-sectional quantitative survey of 236 randomly-selected physiotherapists. Participants completed a purpose-designed questionnaire online or by telephone, covering organizational vision, resources, structures and practices. Organizational characteristics were analyzed descriptively, while organizational models were identified by multiple correspondence analyses. RESULTS: Most organizations were for-profit (93.2%), located in urban areas (91.5%), and within buildings containing multiple businesses/organizations (76.7%). The majority included multiple providers (89.8%) from diverse professions, mainly physiotherapy assistants (68.7%), massage therapists (67.3%) and osteopaths (50.2%). Four organizational models were identified: 1) solo practice, 2) middle-scale multiprovider, 3) large-scale multiprovider and 4) mixed. CONCLUSIONS: The results of this study provide a detailed description of the organizations where physiotherapists practice, and highlight the importance of human resources in differentiating organizational models. Further research examining the influences of these organizational characteristics and models on outcomes such as physiotherapists’ professional practices and patient outcomes are needed. BioMed Central 2014-08-29 /pmc/articles/PMC4161767/ /pubmed/25168160 http://dx.doi.org/10.1186/1472-6963-14-362 Text en © Perreault et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Perreault, Kadija
Dionne, Clermont E
Rossignol, Michel
Poitras, Stéphane
Morin, Diane
Physiotherapy practice in the private sector: organizational characteristics and models
title Physiotherapy practice in the private sector: organizational characteristics and models
title_full Physiotherapy practice in the private sector: organizational characteristics and models
title_fullStr Physiotherapy practice in the private sector: organizational characteristics and models
title_full_unstemmed Physiotherapy practice in the private sector: organizational characteristics and models
title_short Physiotherapy practice in the private sector: organizational characteristics and models
title_sort physiotherapy practice in the private sector: organizational characteristics and models
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161767/
https://www.ncbi.nlm.nih.gov/pubmed/25168160
http://dx.doi.org/10.1186/1472-6963-14-362
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