Evidence map›Paper›PMID 25931663›Full record

ArticlePhysiotherapy Canada. Physiotherapie Canada2015

Ethical issues raised by private practice physiotherapy are more diverse than first meets the eye: recommendations from a literature review.

Anne Hudon, Marie-Josée Drolet, Bryn Williams-Jones

Abstract read
In one paragraph

Article in Physiotherapy Canada. Physiotherapie Canada, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  7. Physiotherapy Students' Experiences about Ethical Situations Encountered in Clinical Practices.International journal of environmental research and public health · 2021
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  8. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Anne HudonRehabilitation Sciences Program, École de réadaptation, Faculté de médecine, Université de Montréal ; Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal.
Marie-Josée DroletDepartment of Occupational Therapy, Université du Québec à Trois-Rivières, Trois-Rivières, Que.
Bryn Williams-JonesBioethics Program, Department of Social and Preventive Medicine, École de santé publique Université de Montréal ; Institut de recherche en santé publique de l'Université de Montréal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePhysiotherapy in private practice differs from physiotherapy practised in a public setting in several ways, the most evident of which is the for-profit nature of private physiotherapy clinics; these differences can generate distinct and challenging ethical issues. The objectives of this article are to identify ethical issues encountered by physiotherapists in private practice settings and to identify potential solutions and recommendations to address these issues.

methodAfter a literature search of eight databases, 39 studies addressing ethical issues in a private practice context were analyzed.

resultsA total of 25 ethical issues emerging from the included studies were classified into three main categories: (1) business and economic issues (e.g., conflicts of interests, inequity in a managed care context, lack of time affecting quality of care); (2) professional issues (e.g., professional autonomy, clinical judgment, treatment effectiveness, professional conduct); and (3) patients' rights and welfare issues (e.g., confidentiality, power asymmetries, paternalism vs. patient autonomy, informed consent). Recommendations as to how physiotherapists could better manage these issues were then identified and categorized.

conclusionsThe physiotherapy community should reflect on the challenges raised by private practice so that professionals can be supported-through education, research, and good governance-in providing the best possible care for their patients.

Indexed as

ethicsprivate practiceprivate sectorprofessional

Identifiers

PMID25931663
PMCPMC4407135

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.