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Team approach to osteoarthritis management: Viewpoints of biokineticists and physiotherapists in South Africa


R. Gilchrist
A. Kholvadia

Abstract

Background: The rehabilitative nature of biokinetics and physiotherapy in osteoarthritis management highlights a complex interaction  between different professions to achieve effective outcomes for the patient. The success of a team approach is dependent on key  competencies for optimal patient-focused care and appropriate cross-referral systems.


Objectives: To explore and describe the viewpoints of biokineticists and physiotherapists regarding a team approach to osteoarthritis  management in the South African public and private healthcare setting.


Methods: A descriptive methodology with a convenience sampling technique was used. The target population consisted of biokineticists  (n=47) and physiotherapists (n=165) located within the South African healthcare sectors. A selfadministered, online questionnaire  surveyed rehabilitative professionals’ views of a team approach to osteoarthritis management.


Results: There is no evidence that the biokineticists and physiotherapists differ with respect to how they rate the communication  between team members in osteoarthritis management (p=0.68). Communication was viewed as neither of a high nor low quality by  biokineticists (43%) and physiotherapists (36%). Biokineticists (54%) and physiotherapists (69%) felt adequately equipped on their understanding of the role of various healthcare professions involved in osteoarthritis management (p=0.22). However, 43% of  rehabilitative professionals indicated that they had not been exposed to interprofessional education initiatives (p=0.61).


Conclusion: Both professions were well-versed on the roles of various professions involved in osteoarthritis management, however,  communication was not optimal. While this study creates an awareness of the benefits of team-based management for osteoarthritis, the  findings could stimulate debate on the optimal implementation of key competencies required for effective teamwork, thereby  facilitating patientfocused care and referral systems. 


Journal Identifiers


eISSN: 2078-516X
print ISSN: 1015-5163