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Full-Text Articles in Medicine and Health Sciences
The Impact Of Nhi Co-Payment Policy On The Utilization Pattern Of Hospital Outpatient Rehabilitation Services, Huang-Chung Chen, Fei-Lin Chang, Jui-Fen Rachel Lu, Ngok-Kiu Chu, Wen-Chung Tsai, Lin-Na Shih, Yiu-Chung Lau, Fuk-Tan Tang
The Impact Of Nhi Co-Payment Policy On The Utilization Pattern Of Hospital Outpatient Rehabilitation Services, Huang-Chung Chen, Fei-Lin Chang, Jui-Fen Rachel Lu, Ngok-Kiu Chu, Wen-Chung Tsai, Lin-Na Shih, Yiu-Chung Lau, Fuk-Tan Tang
Rehabilitation Practice and Science
In response to pressing financial distress as a result of escalating health care expenditures, Bureau of National Health Insurance (NHI) has adopted various deliberate policy interventions to increase the sources of incomes and meanwhile enhance cost containment. Co-payment policy is one measure often taken when focusing on demand-side mechanism, which aims to reduce the potential misuse of medical resources by the insured through cost sharing. The co-payment policy for outpatient rehabilitation services implemented since August, 1999 is one good example.The purpose of this study is to assess the impact of the co-payment policy on the utilization pattern of hospital outpatient …
Perceptions Of College Students Regarding The Current Physical Therapy Profession And Professional Education Process, Victor Prati, Hao Liu
Perceptions Of College Students Regarding The Current Physical Therapy Profession And Professional Education Process, Victor Prati, Hao Liu
Internet Journal of Allied Health Sciences and Practice
The purpose of this study was to determine how undergraduate college students, who are potential physical therapy students, perceive physical therapy as well as the new Doctor of Physical Therapy (DPT) degree. A survey form was created by the authors and was distributed to two universities in the central Arkansas area. Seven hundred and three forms were collected. Descriptive data and Pearson Chi Square (SPSS 10.0) were used for data analysis. Students thought physical therapy was a challenging (76%), physically demanding (72%), and well-paid (79%) health profession. The most commonly recognized interventions used by physical therapists were physical exercises (93%) …
Physical Therapy Students’ Application Of A Clinical Decision-Making Model, Jeannie Wessel, Renee Williams, Beverley Cole
Physical Therapy Students’ Application Of A Clinical Decision-Making Model, Jeannie Wessel, Renee Williams, Beverley Cole
Internet Journal of Allied Health Sciences and Practice
Purpose: Most educational programs in the health sciences present their students with a clinical decision-making model (CDMM) to help them define and treat client problems with a client-centered approach. However, little is known about how well students apply such a model in a clinical setting. The purpose of this study was to determine whether physical therapy students used a CDMM to make clinical decisions, and how well they used it. Method: Fifty-four physical therapy students in their first full-time clinical placement were asked to write up one of their client cases explaining how they made their clinical decisions and evaluating …
An Alternative Model For First Level Clinical Education Experiences In Physical Therapy, Debra Stern, Shari Rone-Adams
An Alternative Model For First Level Clinical Education Experiences In Physical Therapy, Debra Stern, Shari Rone-Adams
Internet Journal of Allied Health Sciences and Practice
Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice is addressed in this paper with critique of the current over-reliance on quantitative methodologies that excludes a substantial body of valuable qualitative evidence to support sound practice. The current trend of relying on questionnaires to obtain psychosocial data is challenged on the basis of limitations of research design. Challenges to researchers from …
Medical Record Documentation: The Quality Of Physiotherapy Entries, Anna Phillips, Kathy Stiller, Marie Williams
Medical Record Documentation: The Quality Of Physiotherapy Entries, Anna Phillips, Kathy Stiller, Marie Williams
Internet Journal of Allied Health Sciences and Practice
This study evaluated the standard of in-patient medical record documentation by physiotherapists at the Royal Adelaide Hospital (RAH), Adelaide, South Australia, during 2003. The impact of patient characteristics (ie primary diagnosis and length of stay in hospital) and physiotherapist features (eg employment classification level and years of employment at the RAH) on the standard of documentation was also explored. One hundred medical records were randomly selected for review and 224 physiotherapy entries were audited. The audit tool was based on the RAH Physiotherapy Department Guidelines for Documentation, which was comprised of five sections. Each section contained several items, which were …
Competency-Based Early Clinical Education Experiences For Physical Therapy Students., Carolyn L. Sherer, David M. Morris, Cecilia Graham, Laura W. White
Competency-Based Early Clinical Education Experiences For Physical Therapy Students., Carolyn L. Sherer, David M. Morris, Cecilia Graham, Laura W. White
Internet Journal of Allied Health Sciences and Practice
Purpose: This paper describes the development, implementation, and outcomes of two courses for entry-level, master’s degree earning physical therapist students. The courses were designed to address perceived barriers to early clinical education experiences, and to proactively provide appropriate structure for the imminent transition to a clinical doctoral degree curriculum. Methods: The courses were conducted one full-day/week during the first and third terms of the curriculum. A variety of clinical sites were utilized. Students passed competencies for skills appropriate for physical therapy aides prior to the onset of the clinical education course. During clinical assignments they performed those duties, and also …
The False Wisdom Of Tuition Based Ranking Of Allied Health Programs: Is Your Program Affordable?, Tamara L. Little
The False Wisdom Of Tuition Based Ranking Of Allied Health Programs: Is Your Program Affordable?, Tamara L. Little
Internet Journal of Allied Health Sciences and Practice
Purpose: The purpose of this analysis was to investigate the extent to which the ranking of programs based on total tuition cost changes when housing and program length were added to total tuition. Method: To accomplish this, the cost of tuition at 13 physical therapist education programs was compiled. Programs were ranked from most expensive to least expensive. The costs associated with housing, program length, and lost opportunity to earn wages were then added to total tuition. Programs were again ranked from most expensive to least expensive. Results: Regional differences in the cost of living and the total length of …
Electronic Clinical Records For Physiotherapists, Christine Barry, Mark Jones, Karen Grimmer
Electronic Clinical Records For Physiotherapists, Christine Barry, Mark Jones, Karen Grimmer
Internet Journal of Allied Health Sciences and Practice
Purpose: This pilot study compared traditional (paper-based) and electronic (computerized) clinical physiotherapy records. The content of the records and the software’s user acceptability were considered. Methods: A neuro-musculoskeletal patient scenario involving two encounters (initial and follow-up) was scripted and role-played to each of three experienced physiotherapists (A, B and C). Participants assessed the patient and made traditional clinical records. After basic training in an electronic record system, they repeated the assessments and made electronic records via a laptop computer. Three experienced physiotherapists (A, D and E) each used their usual method to write a clinical report and an electronic record …