| Abstrakt | | Background: In Slovenia patients can be referred to physical therapy by their primary care physicians or by authorized referral specialists, who issue an outsourced referral letter. Physical therapy is provided in outpatient clinics, health resorts and private physiotherapeutic units. The aim of this study was to explain the basics of physical therapy referrals, and to explore the basic structure of the referred patients and referring physicians, referring diagnoses and number and types of physiotherapeutic procedures provided. Methods: This retrospective study covered the period February 2006 -November 2007. We examined 7525 referral letters, which serve as the basis for the patient access to physical therapy services in the Topolšica Health Resort. Further analysis included 6559 referral documents supplied by the local unit of the Slovenian National Health Insurance Agency, Ravne na Koroškem. Results: At the Topolšica Health Resort, physical therapy services were provided to 2667 male and 3892 female patients. Their average age was 51.7 years (SD 12.6) (men - 51.1; SD 13.4; women - 52; SD12.0). The patients were referred to Topolšica by 89 physicians, of whom 38 (42.7%) were men. Malephysicians made 4429 (67.5%) referrals.Overall, 6496 (99.0%) patients werereferred by 84 (94.4%) primary care physicians, and 29 (0.4%) by five (5.6%) physicians at the secondary health care level. The average number of physiotherapeutic procedures prescribed per referral document was 3.7 (SD 1.1). As many as 5023 (76.6%) patients were referred because of chronic degenerative diseases of the musculoskeletal system, and 6559 patients were prescribed 24524 physiotherapeutic procedures: 7286 (29.7%) electrotherapy, 4069 (16.6%) manual massage and 3828 (15.6%) kinesitherapy. Conclusions: This research provides basic information about physical therapy referrals. Representative samples of patients and physicians would be needed for further analysis.
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| Izvleček | | Izhodišča: V Sloveniji lahko bolnika na ambulantno fizikalno terapijo napoti osebni zdravnik, pa tudi napotni, če ima za to pooblastilo. Dokument za napotitev je delovni nalog. Ambulantna fizioterapija se izvaja v zdravstvenih domovih, naravnih zdraviliščih in pri zasebnih izvajalcih. Z raziskavo smo želeli dobiti osnoven vpogled v napotitve na ambulantno fizikalno terapijo. Želeli smo določiti osnovno strukturo bolnikov, ki so bili napoteni, in zdravnikov, ki so bolnike napotili. Zanimale so nas tudi vrste diagnoz napotenih bolnikov in število ter vrsta predpisanih fizioterapevtskih postopkov. Metode: Raziskava je bila retrospektivna, za obdobje od februarja 2006 do novembra 2007. Pregledali smo 7525 delovnih nalogov, na osnovi katerihsmo sprejeli bolnike na ambulantno fizikalno terapijo v Naravno zdravilišče Topolšica. V nadaljnjo analizo smo vključili 6559 tistih, ki so bili napoteni iz območne enote Zavoda za zdravstveno zavarovanje Slovenije Ravne na Koroškem. Rezultati: Ambulantno fizikalno terapijo je opravljalo 2667moških in 3892 žensk. Povprečna starost vseh bolnikov je bila 51,7 leta (SD 12,6), povprečna starost moških 51,0 (SD 13,4) in žensk 52,2 leta (SD 12,0). Bolniki so bili napoteni s strani 89 različnih zdravnikov, od tega 38 moških (42,7%). Zdravniki moškega spola so napotili 4429 bolnikov (67,5%). 84 (94,4%) zdravnikov je napotilo 6530 bolnikov (99,6%) s primarne ravni, 5 (5,6%) zdravnikov pa je napotilo 29 bolnikov (0,4%) s sekundarne ravni. Povprečno število postopkov fizikalne terapije na en delovni nalog je bilo 3,7(SD 1,1). Največ, 5023 bolnikov (76,6%), je bilo napotenih zaradi kroničnih degenerativnih bolezni kostno-mišičnega sistema. 6559 bolnikom je bilo predpisanih 24524 postopkov fizikalne terapije. Od tega je bila 7286-kratpredpisana elektroterapija (29,7%), 4069-krat suha ročna masaža (16,6%) in 3828-krat kineziterapija (15,6%). (Izvleček skrajšan pri 2000 znakih)
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