Investigating physical therapy practice in the evolving ontario healthcare system: perspectives of physical therapists in homecare and stakeholders who work with them.
What's the challenge?
What are we doing?
What have we found?
Twelve participants were interviewed. Seven physiotherapists, two operational stakeholders, and three system-level stakeholders shared perspectives on physiotherapy practice in IC which revealed four domains. Based on their positionality related to IC, participants perspectives diverged around (1) ambiguity in perceptions of IC, and (2) differing perspectives on changes to physiotherapy scope of practice. Whereas perspectives converged around (3) bringing forward existing expertise to work effectively in IC, and (4) emphasis on multi-level physiotherapy involvement moving forward.
This study highlights an opportunity for actively engaging PTs to help recognize and manage ambiguity to facilitate transitions into new healthcare models. Active engagement of PTs will also continue to emphasize leadership and non-clinical skills of PTs to allow them to contribute to the design, implementation, and evaluation of IC programs.