Direct Access Physiotherapy Service Model In Primary Health Care Facility: An Observational Study

Manik, James Wilson Hasoloan and Wardhani, Kirana and Putri, Adinda Amira and Bernardito, Jeremia and Wiranata, Abi and YatiWulang, Alberta and Anggiat, Lucky (2022) Direct Access Physiotherapy Service Model In Primary Health Care Facility: An Observational Study. International Journal of Medical and Exercise Science, 8 (1). pp. 1210-1218. ISSN 2455 0159

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Abstract

: Physiotherapists, as health care professionals, also have a role in providing main services in primary health care facilities. The practice of physiotherapy in the clinic can be done independently, or in collaboration or integrated with other health care professionals. Physiotherapy services with direct access will facilitate the patients to get physiotherapy services. This study aimed to observe one of physiotherapy service model with direct access in Indonesia. Methods: This research is observational study and observed a clinic that provides direct access to the physiotherapy without having to go through a doctor or other health care professionals. The clinic being observed is the NT Clinic, which is an integrated clinic between general practitioners, medical specialists, and dentists. Results: In a oneyear service from January-December 2021, physiotherapists have handled 1,184 patient visits. The direct access to physiotherapy services at NT Clinic mostly treat patients with musculoskeletal conditions. Physiotherapists at NT Clinic also prioritize manual therapy with types of massage, joint mobilization, and stretching. Then intervention using ultrasound is also the most frequently used intervention and is followed by exercise therapy. Conclusion.Physiotherapy services at NT Clinic are easy to reach by patients and are supported by medical specialists who can collaborate to provide optimal service to patients. Cases handled by physiotherapists at NT Clinic are musculoskeletal and neuromuscular. With direct access, physiotherapists can provide optimal services for patients based on the patient's age, case, and appropriate intervention. Furthermore, physiotherapists can also provide referral options and receive referrals from medical specialists if needed. Keywords: Physiotherapy, Direct Access, Primary Health Care, Clinic

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