ArticleFamily medicine and community health2022
Acceptability of a task sharing and shifting model between family physicians and physiotherapists in French multidisciplinary primary healthcare centres: a cross-sectional survey.
Article in Family medicine and community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Physiotherapists as first-contact practitioners for patients with low back pain in French primary care: a pragmatic cluster randomised controlled trial.BMC health services research · 2024Trial
- How direct access to physiotherapy reshapes GP gatekeeping for musculoskeletal care in primary care: an exploratory organisational typology across health systems.Family medicine and community health · 2026Article
- Examples of Systemic Solutions for Skill-Mix Issues-An Analysis of International Experiences with a Focus on Rural Areas.Healthcare (Basel, Switzerland) · 2026Review
- The Role of Physiotherapists in Multi-professional Primary Care: Lessons for Japan.Physical therapy research · 2026Review
- Addressing Health Care Access Disparities Through a Public Health Approach to Physical Therapist Practice.Physical therapy · 2024Article
- "Cooperation between physicians and physios fosters trust you know": a qualitative study exploring patients' experience with first-contact physiotherapy for low back pain in French primary care.BMC primary care · 2024Article
- A Model of Triage of Serious Spinal Pathologies and Therapeutic Options Based on a Delphi Study.Medicina (Kaunas, Lithuania) · 2023Review
- First-contact physiotherapists' perceived competency in a new model of care for low back pain patients: a mixed methods study.Archives of physiotherapyArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe rising prevalence of musculoskeletal disorders increases pressure on primary care services. In France, patients with musculoskeletal disorders are referred to physiotherapist (PT) by family physician (FP). To improve access to musculoskeletal care, a new model of task sharing and shifting is implemented between FPs and PTs for patients with acute low back pain. This new model enables French PTs to expand their usual scope of practice by receiving patients as first-contact practitioner, diagnosing low back pain, prescribing sick leave and analgesic medication. The aim of this study is to investigate the acceptability of FPs and PTs regarding this new model.
designA cross-sectional survey design was used. Acceptability was measured using a questionnaire on the perception of the model and the perception of PTs' skills to manage low back pain. Descriptive analyses were performed to compare results among participants.
settingFrench FPs and PTs working in multidisciplinary primary healthcare centres were invited to complete an online survey.
participantsA total of 174 respondents completed the survey (81 FPs and 85 PTs).
resultsA majority of participants had a positive perception of the task sharing and shifting model. A majority of the participants were mostly or totally favourable towards the implementation of the model (FPs: n=46, 82% and PTs: n=40, 82%). The perceived level of competencies of PTs to manage acute low back pain was high. The confidence level of FPs was higher than that of PTs regarding PTs' ability to adequately diagnose low back pain, refer patient to physiotherapy and prescribe sick leave or analgesic medication.
conclusionBased on this limited sample of participants, there appears to be good acceptability of the task sharing and shifting model for acute low back pain. Additional studies are needed to better determine the factors affecting the acceptability of such a model.
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