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The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey

2016-10-06Journal article Open access
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dc.contributor.authorRasova, Kamila
dc.contributor.authorFreeman, Jenny
dc.contributor.authorMartinkova, Patricia
dc.contributor.authorPavlikova, Marketa
dc.contributor.authorCattaneo, Davide
dc.contributor.authorJonsdottir, Johanna
dc.contributor.authorHenze, Thomas
dc.contributor.authorBaert, Ilse
dc.contributor.authorVan Asch, Paul
dc.contributor.authorSantoyo, Carme
dc.contributor.authorSmedal, Tori
dc.contributor.authorBeiske, Antonie Giæver
dc.contributor.authorStachowiak, Małgorzata
dc.contributor.authorKovalewski, Mariusz
dc.contributor.authorNedeljkovic, Una
dc.contributor.authorBakalidou, Daphne
dc.contributor.authorAlves-Guerreiro, José
dc.contributor.authorNilsagård, Ylva
dc.contributor.authorDimitrova, Erieta Nikolikj
dc.contributor.authorHabek, Mario
dc.contributor.authorArmutlu, Kadriye
dc.contributor.authorDonzé, Cécile
dc.contributor.authorRoss, Elaine
dc.contributor.authorIlie, Ana Maria
dc.contributor.authorMartić, Andrej
dc.contributor.authorRomberg, Anders
dc.contributor.authorFeys, Peter
dc.date.accessioned2025-06-23T11:32:09Z
dc.date.available2025-06-23T11:32:09Z
dc.date.issued2016-10-06
dc.description.abstractBackground: Understanding the organisational set-up of physiotherapy services across different countries is increasingly important as clinicians around the world use evidence to improve their practice. This also has to be taken into consideration when multi-centre international clinical trials are conducted. This survey aimed to systematically describe organisational aspects of physiotherapy services for people with multiple sclerosis (MS) across Europe. Methods: Representatives from 72 rehabilitation facilities within 23 European countries completed an online web-based questionnaire survey between 2013 and 2014. Countries were categorised according to four European regions (defined by United Nations Statistics). Similarities and differences between regions were examined. Results: Most participating centres specialized in rehabilitation (82 %) and neurology (60 %), with only 38 % specialising in MS. Of these, the Western based Specialist MS centres were predominately based on outpatient services (median MS inpatient ratio 0.14), whilst the Eastern based European services were mostly inpatient in nature (median MS inpatient ratio 0.5). In almost all participating countries, medical doctors - specialists in neurology (60 %) and in rehabilitation (64 %) - were responsible for referral to/prescription of physiotherapy. The most frequent reason for referral to/prescription of physiotherapy was the worsening of symptoms (78 % of centres). Physiotherapists were the most common members of the rehabilitation team; comprising 49 % of the team in Eastern countries compared to approximately 30 % in the rest of Europe. Teamwork was commonly adopted; 86 % of centres based in Western countries utilised the interdisciplinary model, whilst the multidisciplinary model was utilised in Eastern based countries (p = 0.046). Conclusion: This survey is the first to provide data about organisational aspects of physiotherapy for people with MS across Europe. Overall, care in key organisational aspects of service provision is broadly similar across regions, although some variations, for example the models of teamwork utilised, are apparent. Organisational framework specifics should be considered anytime a multi-centre study is conducted and results from such studies are applied.eng
dc.description.sponsorshipThe survey was realised due to support by a RIMS grant 2012 and unrestricted educational grant from Novartis Pharma AG to RIMS, NF-CZ07-MOP-3-3902015, 260277/SVV/2016 and PRVOUK P34.
dc.identifier.citationRasova, K., Freeman, J., Martinkova, P. et al. The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey. BMC Health Serv Res 16, 552 (2016). https://doi.org/10.1186/s12913-016-1750-6
dc.identifier.doi10.1186/s12913-016-1750-6
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/10400.8/13373
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer Science and Business Media LLC
dc.relation.hasversionhttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1750-6
dc.relation.ispartofBMC Health Services Research
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectMultiple Sclerosis
dc.subjectMultiple Sclerosis Patient
dc.subjectEastern Country
dc.subjectRehabilitation Team
dc.subjectPhysiotherapy Service
dc.titleThe organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire surveyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.titleBMC Health Services Research
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAlves-Guerreiro
person.givenNameJosé
person.identifier.orcid0000-0002-9038-9747
person.identifier.scopus-author-id6506306879
relation.isAuthorOfPublication30e516e1-3cf7-4439-a333-7754d3a08fa7
relation.isAuthorOfPublication.latestForDiscovery30e516e1-3cf7-4439-a333-7754d3a08fa7

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