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  • 1
    Online Resource
    Online Resource
    Die berufliche Situation von Physiotherapeut*innen im Schweizer Gesundheitswesen : Eine Analyse der Strukturerhebungsdaten 2016–2018
    Georg Thieme Verlag KG ; 2023
    In:  physioscience
    Details
    In: physioscience, Georg Thieme Verlag KG
    Abstract: Hintergrund In der Schweizer Physiotherapie ist wie in anderen Gesundheitsberufen ein akuter Mangel an Fachkräften absehbar. Die vorliegende Studie zeigt eine aktuelle Übersicht zur Berufsgruppe und gibt eine Einschätzung zur Situation der Fachkräfte in der Schweizer Physiotherapie. Ziel Analyse der Merkmale der Berufsgruppe (Demografie, Beschäftigungsgrade, Arbeitsplätze) sowie Berufsaustritte und Knappheitsindikatoren zur Einschätzung des Fachkräftemangels. Methode Analysiert wurden die kumulierten Daten der Strukturerhebung des Bundesamtes für Statistik aus den Jahren 2016–2018. Um aus der Stichprobe auf die Gesamtpopulation der Physiotherapeut*innen zu schließen, wurden gerundete Gewichte zugrunde gelegt. Geschätzt wurden Kennzahlen zur Berufsgruppe, der Berufstätigkeit und Berufsaustritte sowie Indikatoren zum Fachkräftemangel. Ergebnisse Zwischen 2016–2018 arbeiteten in der Schweiz schätzungsweise 15 199 Physiotherapeut*innen (75,8 % weiblich, Durchschnittsalter 42,1 ± 12,1 Jahre), davon 12 842 (84,5 %) im Gesundheitssektor. Die Mehrheit (72,2 %) der Beschäftigten im Gesundheitswesen arbeitete im ambulanten Bereich. Im Durchschnitt arbeiteten Physiotherapeut*innen 32,7 (95 % KI 32,5–32,8) Stunden pro Woche. Schätzungsweise 28,2 % der ausgebildeten Physiotherapeut*innen verließen den Gesundheitssektor, um eine Laufbahn in einem anderen Beruf einzuschlagen (10,8 %), um ihre Tätigkeit zu unterbrechen oder ganz aufzugeben (9,4 %) oder um als Physiotherapeut*in in einem anderen Wirtschaftssektor zu arbeiten (7,9 %). Im Vergleich zur Gesamtwirtschaft deuten eine hohe Einwanderungsrate (17,2 %) und eine hohe Beschäftigungswachstumsrate (152,8 %) sowie eine niedrige Arbeitslosenquote (0,9 %) auf einen Fachkräftemangel in diesem Beruf hin. Schlussfolgerungen Die Analyse der Strukturdaten 2016–2018 bestätigen den Trend des Beschäftigungswachstums in der Physiotherapie und weisen auf einen Fachkräftemangel hin. Es sollten geeignete Maßnahmen getroffen werden, um diesem Trend entgegenzuwirken und ihn weiter zu untersuchen. Diese sollten die Untersuchung und Evaluation neuer Versorgungsmodelle zur Verbesserung von Karriereperspektiven umfassen, die zum Erhalt von Arbeitskräften beitragen können, sowie die Erweiterung der aktuellen therapeutischen Leistungen durch neue, technologiebasierte Ansätze und die Erhöhung der Anzahl verfügbarer Studienplätze.
    Type of Medium: Online Resource
    ISSN: 1860-3092 , 1860-3351
    URL: Article
    DOI: 10.1055/a-2001-4705
    RVK:
    YT 8000
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2023
    detail.hit.zdb_id: 2202249-1
    SSG: 31
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  • 2
    Online Resource
    Online Resource
    Physiotherapists’ use and perceptions of digital remote physiotherapy during COVID-19 lockdown in Switzerland: an online cross-sectional survey
    Springer Science and Business Media LLC ; 2021
    In:  Archives of Physiotherapy Vol. 11, No. 1 ( 2021-12)
    Details
    In: Archives of Physiotherapy, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2021-12)
    Abstract: The Swiss containment strategy for the COVID-19 pandemic during the first wave in spring 2020 resulted in a moratorium on non-urgent physiotherapy via regular direct patient contact. Consequently, such physiotherapy sessions declined by 84%. This study investigates the impact of this moratorium on the use of digital remote physiotherapy in Switzerland during this period and the perceptions of its use by Swiss physiotherapists (PTs). Methods A cross-sectional online questionnaire was distributed between June and August of 2020 via the Swiss Physiotherapy Association (physioswiss) and various associations of physiotherapy specialists (e.g., sport, pediatric) working in both inpatient and outpatient settings. The questionnaire was designed to capture the demographics of participants and the perceptions of PTs using 33 questions in the following domains: Demography; Attitudes towards digital technology; Private and professional use of digital technology; Use of digital technology during therapy; and, Support requirements. Closed and open-ended questions were included and the frequency of answers was analyzed. Non-parametric inferential statistics were used to identify differences, where appropriate. The Checklist for Reporting Results of Internet E-Surveys (CHERRIES) was adopted. Results Participants in the survey were 742 PTs (23.5% male, mean age of 43 years, mean working experience of 18 years) from the German-speaking (75.5%), French-speaking (15.1%), and Italian-speaking (9.4%) regions of Switzerland. The percentage of PTs using digital remote therapy increased from 4.9% prior to the lockdown to 44.6% during the lockdown period. The majority of PTs did not consider that digital remote therapy could complement usual physiotherapy practice and did not plan to continue with digital remote therapy after the pandemic. Conclusions During the lockdown, Swiss PTs adopted various low-cost and easily accessible digital technologies. However, several barriers hampered further implementation of this modality. Specific education and training programs need to be provided among PTs, appropriate digital technologies should be introduced, and a correct reimbursement scheme should be developed. Trial registration COVIDPhysio Registry of World Physiotherapy, registered 15th June 2020 ( https://world.physio/covid-19-information-hub/covid-19-covidphysio-registry ).
    Type of Medium: Online Resource
    ISSN: 2057-0082
    URL: Article
    DOI: 10.1186/s40945-021-00112-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2844342-1
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  • 3
    Online Resource
    Online Resource
    Group or individual lifestyle-integrated functional exercise (LiFE)? A qualitative analysis of acceptability
    Springer Science and Business Media LLC ; 2021
    In:  BMC Geriatrics Vol. 21, No. 1 ( 2021-12)
    Details
    In: BMC Geriatrics, Springer Science and Business Media LLC, Vol. 21, No. 1 ( 2021-12)
    Abstract: The Lifestyle-integrated Functional Exercise (LiFE) program is an effective but resource-intensive fall prevention program delivered one-to-one in participants’ homes. A recently developed group-based LiFE (gLiFE) could enhance large-scale implementability and decrease resource intensity. The aim of this qualitative focus group study is to compare participants’ experiences regarding acceptability of gLiFE vs LiFE. Methods Programs were delivered in seven group sessions (gLiFE) or seven individual home visits (LiFE) within a multi-center, randomized non-inferiority trial. Four structured focus group discussions (90–100 min duration; one per format and study site) on content, structure, and subjective effects of gLiFE and LiFE were conducted. Qualitative content analysis using the method of inductive category formation by Mayring was applied for data analysis. Coding was managed using NVivo. Results In both formats, participants ( N  = 30, 22 women, n gLiFE  = 15, n LiFE  = 15, mean age 78.8 ± 6.6 years) were positive about content, structure, and support received by trainers. Participants reflected on advantages of both formats: the social aspects of learning the program in a peer group (gLiFE), and benefits of learning the program at home (LiFE). In gLiFE, some difficulties with the implementation of activities were reported. In both formats, the majority of participants reported positive outcomes and successful implementation of new movement habits. Conclusion This is the first study to examine participants’ views on and experiences with gLiFE and LiFE, revealing strengths and limitations of both formats that can be used for program refinement. Both formats were highly acceptable to participants, suggesting that gLiFE may have similar potential to be adopted by adults aged 70 years and older compared to LiFE. Trial registration ClinicalTrials.gov , NCT03462654 . Registered on March 12, 2018.
    Type of Medium: Online Resource
    ISSN: 1471-2318
    URL: Article
    DOI: 10.1186/s12877-020-01991-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2059865-8
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  • 4
    Online Resource
    Online Resource
    Table_1.DOCX
    Frontiers Media SA ; 2022
    In:  Frontiers in Psychology Vol. 13 ( 2022-10-19)
    Details
    In: Frontiers in Psychology, Frontiers Media SA, Vol. 13 ( 2022-10-19)
    Abstract: Patients with chronic conditions are less physically active than the general population despite knowledge of positive effects on physical and mental health. There is a variety of reasons preventing people with disabilities from achieving levels of physical activities resulting in health benefits. However, less is known about potential facilitators and barriers for physical activity (PA) in people with severe movement impairments. The aim of this study was to identify obstacles and facilitators of PA in individuals with severe disabilities. Materials and methods Using a qualitative approach to explore individuals’ subjective perspectives in depth, five community-dwelling adults (age 52–72, 2 female, 3 male) living with chronic mobility impairments after stroke that restrict independent PA were interviewed. A semi structured topic guide based on the theoretical domains framework was utilized. The interview data was analyzed thematically, and the theoretical domains framework constructs were mapped onto the main and sub-categories. Results The six main categories of facilitators and barriers along the capability, opportunity, motivation–behavior (COM-B) framework were: (1) physical capabilities, (2) psychological capabilities, (3) motivation reflective, (4) motivation automatic, (5) opportunity physical, and (6) opportunity social. The physical capabilities to independently perform PA were variable between participants but were not necessarily perceived as a barrier. Participants were highly motivated to maintain and/or increase their abilities to master their everyday lives as independently as possible. It became clear that a lack of physical opportunities, such as having access to adequate training facilities can present a barrier. Social opportunities in the form of social support, social norms, or comparisons with others can act as both facilitators and barriers. Conclusion While confirming known barriers and facilitators that impact the ability of individuals with functional limitations to be active, the findings highlight the need and opportunities for comprehensive service models based on interdisciplinary collaborations.
    Type of Medium: Online Resource
    ISSN: 1664-1078
    URL: Article
    URL: Article
    DOI: 10.3389/fpsyg.2022.982302
    DOI: 10.3389/fpsyg.2022.982302.s001
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2563826-9
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  • 5
    Online Resource
    Online Resource
    The Influence of Pulmonary Rehabilitation and Counselling on Perceptions of Physical Activity in Individuals with COPD – A Qualitative Study
    Informa UK Limited ; 2021
    In:  International Journal of Chronic Obstructive Pulmonary Disease Vol. Volume 16 ( 2021-08), p. 2337-2350
    Details
    In: International Journal of Chronic Obstructive Pulmonary Disease, Informa UK Limited, Vol. Volume 16 ( 2021-08), p. 2337-2350
    Type of Medium: Online Resource
    ISSN: 1178-2005
    URL: Article
    DOI: 10.2147/COPD.S315130
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2212419-6
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  • 6
    Online Resource
    Online Resource
    Feasibility and cost description of highly intensive rehabilitation involving new technologies in patients with post-acute stroke—a trial of the Swiss RehabTech Initiative
    Springer Science and Business Media LLC ; 2022
    In:  Pilot and Feasibility Studies Vol. 8, No. 1 ( 2022-12)
    Details
    In: Pilot and Feasibility Studies, Springer Science and Business Media LLC, Vol. 8, No. 1 ( 2022-12)
    Abstract: There is a need to provide highly repetitive and intensive therapy programs for patients after stroke to improve sensorimotor impairment. The employment of technology-assisted training may facilitate access to individualized rehabilitation of high intensity. The purpose of this study was to evaluate the safety and acceptance of a high-intensity technology-assisted training for patients after stroke in the subacute or chronic phase and to establish its feasibility for a subsequent randomized controlled trial. Methods A longitudinal, multi-center, single-group study was conducted in four rehabilitation clinics. Patients participated in a high-intensity 4-week technology-assisted trainings consisting of 3 to 5 training days per week and at least 5 training sessions per day with a duration of 45 min each. Feasibility was evaluated by examining recruitment, intervention-related outcomes (adherence, subjectively perceived effort and effectiveness, adverse events), patient-related outcomes, and efficiency gains. Secondary outcomes focused on all three domains of the International Classification of Functioning Disability and Health. Data were analyzed and presented in a descriptive manner. Results In total, 14 patients after stroke were included. Participants exercised between 12 and 21 days and received between 28 and 82 (mean 46 ± 15) technology-assisted trainings during the study period, which corresponded to 2 to 7 daily interventions. Treatment was safe. No serious adverse events were reported. Minor adverse events were related to tiredness and exertion. From baseline to the end of the intervention, patients improved in several functional performance assessments of the upper and lower extremities. The efficiency gains of the trainings amounted to 10% to 58%, in particular for training of the whole body and for walking training in severely impaired patients. Conclusions Highly intensive technology-assisted training appears to be feasible for in- and outpatients in the subacute or chronic phase after stroke. Further clinical trials are warranted in order to define the most comprehensive approach to highly intensive technology-assisted training and to investigate its efficacy in patients with neurological disorders. Trial registration ClinicalTrials.gov Identifier: NCT03641651 at August 31st 2018
    Type of Medium: Online Resource
    ISSN: 2055-5784
    URL: Article
    DOI: 10.1186/s40814-022-01086-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2809935-7
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