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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Promoting effective interprofessional collaborative practice in the primary care setting: recommendations from Queensland physiotherapy private practitioners

Jack Seaton https://orcid.org/0000-0003-0942-8954 A B * , Anne Jones https://orcid.org/0000-0002-4556-9159 A , Catherine Johnston https://orcid.org/0000-0002-9422-2063 C and Karen Francis https://orcid.org/0000-0003-3578-2498 D
+ Author Affiliations
- Author Affiliations

A College of Healthcare Sciences, James Cook University, Townsville, Qld, Australia.

B College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Qld, Australia.

C School of Health Sciences, University of Newcastle, Callaghan, NSW, Australia.

D School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia.

* Correspondence to: jack.seaton@my.jcu.edu.au

Australian Journal of Primary Health 30, PY23175 https://doi.org/10.1071/PY23175
Submitted: 14 September 2023  Accepted: 16 January 2024  Published: 5 February 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background

Physiotherapy private practitioners represent a growing proportion of Australia’s primary care workforce; however, they face significant barriers in integrating seamlessly within interprofessional teams. Historically, the landscape of primary care in Australia has been one where many physiotherapists work in monoprofessional private practice facilities at dispersed locations, potentially limiting collaborative and coordinated care. The aim of this study was to investigate strategies recommended by physiotherapists to promote effective interprofessional collaborative practice (IPCP) within the Australian private practice setting.

Methods

Using interpretive description as the guiding methodological framework, semi-structured interviews were conducted with 28 physiotherapists in 10 private practice sites in Queensland, Australia.

Results

Data analysis produced three themes that characterised physiotherapy private practitioners’ recommendations to improve IPCP: (a) the need for improved funding and compensation, particularly addressing the limitations of the Medicare Chronic Disease Management program; (b) the development of integrated and secure digital communication systems to facilitate better information exchange; and (c) prioritising professional development and training to enhance collaboration.

Conclusions

This research lays the groundwork for informed policy making to advance person-centred care and support the integration of services in the Australian healthcare system. The findings from this study indicate that promoting effective IPCP in physiotherapy private practice requires a comprehensive strategy that addresses systemic funding and compensation issues, enhances digital communication systems and optimises interprofessional education and training.

Keywords: interprofessional collaboration, interprofessional practice, person-centred care, physical therapy, physiotherapists, primary care, private practice, qualitative research.

References

Allied Health Professions Australia (2023) Pre-budget submission 2023. Allied Health Professions Australia, Melbourne, Victoria, Australia. Available at https://ahpa.com.au/wp-content/uploads/2023/02/MSC1762-Allied-Health-Professions-Pre-Budget-Submission-2023_FINAL.pdf [Verified 14 September 2023]

Australian Digital Health Agency (2018) Australia’s national digital health strategy: framework for action: how Australia will deliver the benefits of digitally enabled health and care. Australian Digital Health Agency, Canberra, ACT, Australia. Available at https://www.digitalhealth.gov.au/sites/default/files/2020-11/Framework_for_Action.pdf [Verified 14 September 2023]

Australian Institute of Health and Welfare (2022) Medicare-subsidised GP, allied health and specialist health care across local areas: 2021–22. Australian Institute of Health and Welfare, Canberra, ACT, Australia. Available at https://www.aihw.gov.au/reports/primary-health-care/medicare-subsidised-gp-allied-health-and-specialis [Verified 14 September 2023]

Australian Physiotherapy Association (2022) Future of physiotherapy in Australia: a 10-year vision policy white paper. Australian Physiotherapy Association, Melbourne, Victoria, Australia. Available at https://australian.physio/sites/default/files/APA_Future_of_Physio_White_Paper_FW.pdf [Verified 14 September 2023]

Australian Physiotherapy Association and Nous Group (2020) Value of physiotherapy in Australia. Australian Physiotherapy Association, Melbourne, Victoria, Australia. Available at https://australian.physio/sites/default/files/Report_FA_WEB.pdf [Verified 14 September 2023]

Birks M, Chapman Y, Francis K (2008) Memoing in qualitative research: probing data and processes. Journal of Research in Nursing 13, 68-75.
| Crossref | Google Scholar |

Braun V, Clarke V (2019) Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health 11, 589-597.
| Crossref | Google Scholar |

Braun V, Clarke V (2021) One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology 18, 328-352.
| Crossref | Google Scholar |

Breadon P, Romanes D, Fox L, Bolton J, Richardson L (2022) A new Medicare: strengthening general practice. Grattan Institute, Melbourne, Victoria, Australia. Available at https://grattan.edu.au/wp-content/uploads/2022/12/A-new-Medicare-strengthening-general-practice-Grattan-Report.pdf [Verified 14 September 2023]

deBoer H, Andrews M, Cudd S, Leung E, Petrie A, Chan Carusone S, O’Brien KK (2019) Where and how does physical therapy fit? Integrating physical therapy into interprofessional HIV care. Disability and Rehabilitation 41, 1768-1777.
| Crossref | Google Scholar | PubMed |

Department of Health and Aged Care (2023) Physiotherapists 2020–2021. Department of Health and Aged Care, Canberra, ACT, Australia. Available at https://hwd.health.gov.au/alld-dashboards/index.html [Verified 14 September 2023]

Jia L, Meng Q, Scott A, Yuan B, Zhang L (2021) Payment methods for healthcare providers working in outpatient healthcare settings. Cochrane Database of Systematic Reviews 1, CD011865.
| Crossref | Google Scholar |

Keel S, Schmid A, Keller F, Schoeb V (2023) Investigating the use of digital health tools in physiotherapy: facilitators and barriers. Physiotherapy Theory and Practice 39, 1449-1468.
| Crossref | Google Scholar | PubMed |

Nicholson C, Jackson C, Marley J (2013) A governance model for integrated primary/secondary care for the health-reforming first world – results of a systematic review. BMC Health Services Research 13, 528.
| Crossref | Google Scholar | PubMed |

Northern Queensland Primary Health Network (2022) Health needs assessment 2022–2024. Northern Queensland Primary Health Network, Cairns, Queensland, Australia. Available at https://www.nqphn.com.au/about-us/reports-and-plans/health-needs-assessment [Verified 14 September 2023]

Patton M (2015) ‘Qualitative research and evaluation methods.’ 4th edn. (Sage: Thousand Oaks, CA, USA)

Physiotherapy Board of Australia and Physiotherapy Board of New Zealand (2015) Physiotherapy practice thresholds in Australia and Aotearoa New Zealand. Physiotherapy Board of Australia, Canberra, ACT, Australia. Available at https://www.physiotherapyboard.gov.au/documents/default.aspx?record=WD15%2f16750&dbid=AP&chksum=LWuk27uBUFj5MTUort6Qug%3d%3d [Verified 14 September 2023]

Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M (2017) Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews 6, CD000072.
| Crossref | Google Scholar |

Robinson OC (2014) Sampling in interview-based qualitative research: a theoretical and practical guide. Qualitative Research in Psychology 11, 25-41.
| Crossref | Google Scholar |

Seaton JA, Jones AL, Johnston CL, Francis KL (2020) The characteristics of Queensland private physiotherapy practitioners’ interprofessional interactions: a cross-sectional survey study. Australian Journal of Primary Health 26, 500-506.
| Crossref | Google Scholar | PubMed |

Socha-Dietrich K (2021) Empowering the health workforce to make the most of the digital revolution. OECD Health Working Papers, No. 129. OECD Publishing, Paris, France.

Thorne S (2008) ‘Interpretive description.’ (Left Coast Press: Walnut Creek, CA, USA)

Thorne S, Stephens J, Truant T (2016) Building qualitative study design using nursing’s disciplinary epistemology. Journal of Advanced Nursing 72, 451-460.
| Crossref | Google Scholar | PubMed |

Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care 19, 349-357.
| Crossref | Google Scholar | PubMed |

Xyrichis A, Reeves S, Zwarenstein M (2018) Examining the nature of interprofessional practice: an initial framework validation and creation of the InterProfessional Activity Classification Tool (InterPACT). Journal of Interprofessional Care 32, 416-425.
| Crossref | Google Scholar | PubMed |

World Health Organization (2010) Framework for action on interprofessional education and collaborative practice. World Health Organization, Geneva, Switzerland. Available at https://apps.who.int/iris/handle/10665/70185 [Verified 14 September 2023]