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Background <p>Physical therapist-led (PT-led) orthopedic triage is a care model designed to improve access to specialist care for patients with musculoskeletal disorders (MSK), including osteoarthritis (OA). Results from a previous RCT comparing PT-led triage with standard care (orthopedic surgeon assessment) showed that patients perceived the received care to be of good quality, however also showed (i) lower levels of participation in decision-making and that (ii) their expectations on the assessment were fulfilled to a lesser extent. Therefore, the aim of this study was to explore the expectations of the assessment and experiences of patients with hip or knee OA regarding PT-led triage in an Swedish orthopedic clinic.</p> Methods <p>An explorative qualitative research design with an inductive approach was used. Patients who had undergone PT-led triage for their hip/knee OA at a hospital based orthopedic clinic were invited to participate. A purposive sampling was used to get a variation in gender and assessment outcome. Semi-structured, one-to-one interviews were conducted in Swedish. The interviews were audio recorded, transcribed verbatim and analyzed with content analysis according to Graneheim and Lundman. Thereafter the results were translated into English.</p> Result <p>Twelve patients were included in the study. The patients’ expectations and experiences about PT-led triage were classified into 2 themes; <i>In safe hands</i> and <i>A care model in progress</i>, with a total of 6 categories: Highly skilled and professional PT, Sense of involvement and empowerment, Feeling validated, An innovative and effective care model, Expectations on the meeting and Opportunities for Improvements.</p> Conclusion <p>The main findings of this study are that patients felt they were meeting an expert, experienced a sense of involvement in their care, and viewed PT-led triage as a valuable model of care although some patients reported a lack of information regarding the care process. The results from this study of patients’ expectations and experiences may be used to further refine and improve this model of care, thereby supporting its implementation on a broader scale.</p> Trial registration <p>The study was prospectively registered in Clinical Trials Gov NCT04665908, registered 07/12/2020.</p>

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In safe hands – patients with knee and hip osteoarthritis expectations and experience of physical therapist-led triage in a secondary care setting

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  • 发表日期：

    2026年7月7日

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  • Linnéa Gustavsson,
  • Daniel Broman,
  • Susanne Beischer,
  • Karin Samsson

摘要

Background

Physical therapist-led (PT-led) orthopedic triage is a care model designed to improve access to specialist care for patients with musculoskeletal disorders (MSK), including osteoarthritis (OA). Results from a previous RCT comparing PT-led triage with standard care (orthopedic surgeon assessment) showed that patients perceived the received care to be of good quality, however also showed (i) lower levels of participation in decision-making and that (ii) their expectations on the assessment were fulfilled to a lesser extent. Therefore, the aim of this study was to explore the expectations of the assessment and experiences of patients with hip or knee OA regarding PT-led triage in an Swedish orthopedic clinic.

Methods

An explorative qualitative research design with an inductive approach was used. Patients who had undergone PT-led triage for their hip/knee OA at a hospital based orthopedic clinic were invited to participate. A purposive sampling was used to get a variation in gender and assessment outcome. Semi-structured, one-to-one interviews were conducted in Swedish. The interviews were audio recorded, transcribed verbatim and analyzed with content analysis according to Graneheim and Lundman. Thereafter the results were translated into English.

Result

Twelve patients were included in the study. The patients’ expectations and experiences about PT-led triage were classified into 2 themes; In safe hands and A care model in progress, with a total of 6 categories: Highly skilled and professional PT, Sense of involvement and empowerment, Feeling validated, An innovative and effective care model, Expectations on the meeting and Opportunities for Improvements.

Conclusion

The main findings of this study are that patients felt they were meeting an expert, experienced a sense of involvement in their care, and viewed PT-led triage as a valuable model of care although some patients reported a lack of information regarding the care process. The results from this study of patients’ expectations and experiences may be used to further refine and improve this model of care, thereby supporting its implementation on a broader scale.

Trial registration

The study was prospectively registered in Clinical Trials Gov NCT04665908, registered 07/12/2020.