Referral practices of medical practitioners in central South Africa to physiotherapy services for patients living with musculoskeletal conditions.
Roline Y Barnes, Alida Janse van Rensburg, Jacques E Raubenheimer
PMID 34693070WHAT IT FOUND
Medical practitioners in Bloemfontein said previous positive physiotherapy outcomes and direct communication influenced musculoskeletal referrals.
Only 59.2% used referral criteria.
Key findings
01Twenty-nine participants (59.2%) used referral criteria, while eighteen (36.7%) did not.
02Previous positive physiotherapy outcomes influenced referrals for 47 participants (95.9%), and personal communication influenced 34 participants (69.4%).
03Among those using criteria, the most common were rehabilitation to regain function or return to daily activities (48.3%) and clinical reasoning (37.9%).
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 49 medical practitioners were analysed, from an estimated 452 in Bloemfontein, so results may not apply to other cities or health systems. The response rate was 46.7%, and the sample represented approximately 11% of Bloemfontein's 452 medical practitioners. Answers were self-reported from a questionnaire, not verified against referral records or patient outcomes. Two participants did not answer the referral criteria question. The study did not compare private and public sector practitioners, although sector may affect referral practice. Pilot data from five practitioners were included in the main results. The text and Table 1 give different numbers for referral frequency, so the study does not provide a clear referral frequency. The study describes referral practices and influences; it does not test whether referrals were appropriate or whether patient outcomes improved.
The easy way to misread this
Do not read these percentages as actual referral rates or proof that physiotherapy improves musculoskeletal outcomes. They are self-reported influences from 49 medical practitioners in one city.