Physical therapists familiarity and beliefs about health services utilization and health seeking behaviour

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2018-01-01

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Abstract

© 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Background: Physical therapists’ familiarity, perceptions, and beliefs about health services utilization and health seeking behaviour have not been previously assessed. Objectives: The purposes of this study were to identify physical therapists’ characteristics related to familiarity of health services utilization and health seeking behaviour, and to assess what health seeking behaviour factors providers felt were related to health services utilization. Methods: We administered a survey based on the Andersen behavioural model of health services utilization to physical therapists using social media campaigns and email between March and June of 2017. In addition to descriptive statistics, we performed binomial logistic regression analysis. We asked respondents to rate familiarity with health services utilization and health seeking behaviour and collected additional characteristic variables. Results: Physical therapists are more familiar with health services utilization than health seeking behaviour. Those who are familiar with either construct tend to be those who assess for health services utilization, use health services utilization for a prognosis, and believe that health seeking behaviour is measurable. Physical therapists rated need and enabling factors as having more influence on health services utilization than predisposing and health belief factors. Conclusion: Physical therapists are generally familiar with health services utilization and health seeking behaviour; however, there appears to be a disconnect between what is familiar, what is perceived to be important, and what can be assessed for both health services utilization and health seeking behaviour.

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Published Version (Please cite this version)

10.1016/j.bjpt.2018.02.002

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Clewley, Derek, Dan Rhon, Tim Flynn, Shane Koppenhaver and Chad Cook (2018). Physical therapists familiarity and beliefs about health services utilization and health seeking behaviour. Brazilian Journal of Physical Therapy. 10.1016/j.bjpt.2018.02.002 Retrieved from https://hdl.handle.net/10161/16732.

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Scholars@Duke

Clewley

Derek James Clewley

Assistant Professor in Orthopaedic Surgery

Dr. Clewley is an educator, clinical researcher, physical therapist, and mentor in the DPT program. His specific area of expertise and training is orthopaedics and manual physical therapy.  He has achieved board certification in orthopaedics, and is recognized as a Fellow of the American Academy of Orthopaedic Manual Physical Therapists. He has a PhD with primary research interests in health seeking behavior, pain science, manual therapy, clinical practice guideline development and implementation, and dry needling.  Dr. Clewley has extensive experience in the development of continuing education, residency, and fellowship post graduate training programs.

Daniel I. Rhon

Adjunct Assistant Professor in the Department of Orthopaedic Surgery
Cook

Chad E. Cook

Professor in Orthopaedic Surgery

Dr. Cook is a clinical researcher, physical therapist, and profession advocate with a long-term history of clinical care excellence and service. His passions include refining and improving the patient examination process and validating tools used in day-to-day physical therapist practice. Dr. Cook has authored or co-authored 3 textbooks, has published over 315 peer reviewed manuscripts and lectures internationally on orthopedic examination and treatment.


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