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Care"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Physiotherapists working in collaboration with family physicians in French multidisciplinary primary healthcare clinics are now able to manage acute low back pain patients as first-contact practitioners in advanced practice roles. This includes medical act delegation such as making a medical diagnosis and prescribing medication. The aim of this study is to explore patients\u2019 experience and perceptions when attending a first-contact physiotherapist (FCP) in an advanced practice collaborative primary care model for acute low back pain (LBP).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A qualitative study using semi-structured interviews was conducted. Patients that consulted a FCP for acute LBP care in new collaborative model were included. Interviews were transcribed verbatim and inductive thematic analysis was performed to generate themes related to patients\u2019 experience and perceptions.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Ten patients were interviewed (3 women, 7 men; mean age 36.5\u2009\u00b1\u20099.63\u00a0years). All LBP participants experienced important level of pain and disability. Four overarching themes related to patients\u2019 experience with the new FCP model were formalized: 1) <jats:italic>\u201cGoing to see a physiotherapist who specializes in painful movements, well that makes sense to me\u201d,<\/jats:italic> 2) <jats:italic>\u201cPhysiotherapist offered to give me exercises to do at home to relieve the back pain\u201d<\/jats:italic>, 3) <jats:italic>\u201cI went there feeling confident\u201d<\/jats:italic>, 4) <jats:italic>\u201cThe physiotherapist can do more than just send you to see more appropriate people\u201d<\/jats:italic>. Participants highlighted the need to receive timely and high-quality care and were receptive with being autonomously managed by a FCP. Overall, patients\u2019 experiences with FCP model of care were positive. Participants were highly confident in the FCP\u2019s ability to perform delegated medical tasks including making a medical diagnosis and prescribing oral medication such as analgesic drugs. Patients felt that a greater expansion of FCPs\u2019 scope of practice was needed to improve the model.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Findings from this study can inform the implementation of FCP in countries where patients are not typically granted FCP by underlining that patients are favourable towards the advance practice model as such models support timely and high-quality care. Further research is needed to better determine the future advance practice physiotherapists\u2019 scope of practice in French primary and secondary care settings<jats:bold>.<\/jats:bold><\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12875-024-02302-x","type":"journal-article","created":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T10:02:39Z","timestamp":1708682559000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["\u201cCooperation between physicians and physios fosters trust you know\u201d: a qualitative study exploring patients\u2019 experience with first-contact physiotherapy for low back pain in French primary care"],"prefix":"10.1186","volume":"25","author":[{"given":"Am\u00e9lie","family":"Kechichian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Pommier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9o","family":"Druart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Lowry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Pinsault","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Desmeules","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,23]]},"reference":[{"key":"2302_CR1","volume-title":"Musculoskeletal Health","author":"World Health Organization","year":"2021","unstructured":"World Health Organization. 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Ethical approval was obtained from the French ethics committee: <i>Comit\u00e9 de Protection des Personnes Ouest IV Nantes<\/i> (<i>Committee for the protection of subjects West Nantes IV<\/i>, number 21.01537.000012). All participants offered written informed consent prior to the enrolment in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declared no conflicts of interest with respect to the research, authorship, and\/or publication of this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"69"}}