This research aims to explore the perceptions of emergency physicians regarding the integration of physiotherapists in emergency departments in France. The study seeks to identify potential benefits, barriers, and best practices for collaboration. Understanding physicians' opinions on this integration will provide insight into the future organization of emergency care, particularly for non-traumatic musculoskeletal conditions like low back pain.
A qualitative study was conducted based on 13 interviews with emergency physicians from two university hospitals: eight at HEH in Lyon and five at Haute-Pierre in Strasbourg. Semi-structured interviews were used to collect their views on the integration of physiotherapists for both traumatic and non-traumatic musculoskeletal conditions. The data were analyzed using a thematic approach.
The majority of physicians acknowledged the clinical expertise of physiotherapists, especially in non-traumatic conditions like low back pain, and expressed openness to delegating partial or full care in these cases. However, concerns about full delegation of care were noted, particularly regarding maintaining the physician’s central role. Barriers identified included administrative and organizational challenges, and resource limitations.
The integration of physiotherapists into emergency departments could improve the quality of care, especially for musculoskeletal and geriatric patients, while reducing the workload of emergency physicians. The experiences observed in private centers and abroad show positive results, though full delegation of care remains debated.
The positive reception from emergency professionals suggests that physiotherapists could be integrated effectively into emergency care settings, provided that clear protocols are established. This could lead to hybrid care models where physiotherapists are present both in the emergency department and for post-acute care, optimizing the care pathway for musculoskeletal patients.
Extended scope of practice
Advanced model of care
