Obstacles to the implementation of evidence-based physiotherapy in practice: a focus group-based study in Belgium (Flanders)

Physiotherapy Theory and Practice
Hannes KarinAertgeerts Bert

Abstract

Over the past few years concerns have been rising about the use of Evidence-Based Practice (EBP). We explored obstacles among Belgian physiotherapists to the implementation of EBP in clinical work. We used a qualitative research strategy based on five focus groups, organised between October 2004 and May 2005. Purposeful sampling was used to recruit 43 participants from diverse geographical regions in Flanders, working in different settings and with a variety of interest and expertise in EBP. Data collection and analysis were concurrent and guided by "grounded theory approach." A problem tree was developed. Important obstacles to the implementation of EBP include physiotherapists' lack of autonomy and authority to decide on patients' treatments or to negotiate with government. In addition, the lack of evidence, inaccessibility and inapplicability of scientific evidence, the economic parameters influencing government and physicians, the expectations from patients and a lack of motivation hamper the implementation of EBP. The problem tree developed reveals direct links between the lack of autonomy from physiotherapists and the dominant position from physicians in the Belgian health care system, which further impacts the boundaries...Continue Reading

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References

Sep 13, 2001·The Australian Journal of Physiotherapy·J Cole
Nov 14, 2001·Journal of Interprofessional Care·J HiggsE Ellis
Dec 1, 2001·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·P Turner, I Mjolne
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Mar 8, 2003·BMC Family Practice·Rachel WeissJohn Yaphe
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Feb 3, 2006·International Journal of Dental Hygiene·Sandra J Cobban
May 26, 2006·Journal of Evaluation in Clinical Practice·Dominic Upton, Penney Upton
Dec 22, 2006·Health Marketing Quarterly·Laura A Brannon, Valerie K Pilling
Sep 20, 2007·Journal of Advanced Nursing·Karin HannesBert Aertgeerts

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Citations

Apr 13, 2013·BMC Medical Education·Nina R OlsenMonica W Nortvedt
Mar 19, 2013·Implementation Science : IS·Petra DannapfelPer Nilsen
Jul 23, 2015·Journal of Evaluation in Clinical Practice·Gudrun DiermayrNancy M Salbach
Mar 26, 2014·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Nina Rydland OlsenJan Magnus Bjordal
Dec 6, 2014·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Rebecca SmithGraham Flint
Sep 7, 2016·Journal of Evaluation in Clinical Practice·Catie ChristensenMitch Selhorst
May 24, 2018·Physiotherapy Theory and Practice·Nancy AliKate Grafton
Apr 22, 2019·Journal of Clinical Psychology in Medical Settings·Edgar Landa-RamírezAngélica Riveros-Rosas
Feb 28, 2017·Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao·Hannah C Yahui, Narasimman Swaminathan
Dec 1, 2011·Research Synthesis Methods·Karin Hannes, Angela Harden
Nov 18, 2016·Musculoskeletal Science & Practice·David SpitaelsPatrik Vankrunkelsven

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