Repository logo
 
Publication

Contribution to physiotherapy to value-based healthcare: a systematic review

2025-05Conference poster Open access
Simple item page
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCorreia, Anabela
dc.date.accessioned2025-07-31T14:11:35Z
dc.date.available2025-07-31T14:11:35Z
dc.date.issued2025-05
dc.description.abstractBackground: Value-based healthcare focuses on finding a balance between the quality of care and the costs involved. It does not imply cost-cutting, but rather providing necessary care while avoiding unnecessary or ineffective procedures. Physiotherapy seeks to deliver optimal patient outcomes by enhancing the relationship between achieved benefits and incurred costs, aligning with the principles of value-based healthcare. Purpose: This study aims to understand how physiotherapy contributes to increasing the value of healthcare services. Methods: A systematic search was conducted in the Scopus, Web of Science, and PubMed databases without time restrictions, using the keywords in both Portuguese and English: value-based care, physiotherapy (or physical therapy), and rehabilitation. The search was limited to peer-reviewed articles and conference presentations. Eligible studies were those that described new value-based healthcare models incorporating physiotherapy, either as a standalone intervention or within a multidisciplinary team, across any type of pathology. Studies that described value-based healthcare models without the inclusion of physiotherapy, those analysing only conventional care models, descriptive or review articles, and other types of studies were excluded. The review protocol was registered in INPLASY under the number 6629. Results: Out of 211 articles, after removing duplicates (104) and applying the eligibility criteria, fourteen articles were selected. All selected studies focused on individuals with musculoskeletal disorders. Of these, eight examined the reorganization of care models for patients undergoing hip or knee arthroplasty, four evaluated telerehabilitation programs, one assessed direct access to physiotherapy, and another examined the integration of a physiotherapist in orthopedic emergency care. Various assessment tools were used, including length of hospital stay, intervention costs, hospital readmissions, discharge destination, pain, adherence, disability, patient satisfaction, and quality of life. Most of the studies reported positive outcomes from the inclusion of physiotherapy. Conclusions: Incorporating physiotherapy into healthcare model reorganization, namely with early intervention in individuals who have undergone orthopedic surgery, and adopting new technologies, represents promising approaches to creating value in healthcare. However, it is important to note that value can only be measured by balancing costs with health outcomes. Implications: Physiotherapy, when aligned with the principles of value-based healthcare, contributes to improving health outcomes by balancing quality and costs. The reorganization of healthcare models, especially in orthopedic surgeries, and the use of telerehabilitation stand out as promising strategies. Studies show that the inclusion of physiotherapy reduces hospital stays, readmissions, and pain, while increasing patient satisfaction and quality of life. Integration into multidisciplinary teams optimizes service efficiency. However, physiotherapists need to acquire knowledge in healthcare management and service organization to further enhance the value they bring to patient care.eng
dc.identifier.citationCorreia AD. Contribution to physiotherapy to value-based healthcare: a systematic review. In: World Physiotherapy Congress 2025, Tokyo (Japan), May 29-31, 2025.
dc.identifier.urihttp://hdl.handle.net/10400.21/22000
dc.language.isoeng
dc.peerreviewedyes
dc.relation.hasversionhttps://wp2025.world.physio/
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPhysiotherapy
dc.subjectTelerehabilitation
dc.subjectValue-based healthcare
dc.subjectMultidisciplinary team
dc.subjectSystematic review
dc.titleContribution to physiotherapy to value-based healthcare: a systematic revieweng
dc.typeconference poster
dspace.entity.typePublication
oaire.citation.conferenceDate2025-05
oaire.citation.conferencePlaceTóquio, Japão
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameCorreia
person.givenNameAnabela
person.identifier.orcid0000-0002-7478-8617
relation.isAuthorOfPublication387c3dfa-1cae-4366-8d27-14c8b2d42936
relation.isAuthorOfPublication.latestForDiscovery387c3dfa-1cae-4366-8d27-14c8b2d42936

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Contribution to physiotherapy to value-based healthcare_a systematic review.pdf
Size:
432.89 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
4.03 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

ESTeSL - Posters