Why the study?
While research on the fiscal implications of the bundled care model exists, patient-perceived experiences are less well known as bundled care expands in Ontario.
Patients report positive experiences with bundled care physiotherapy following total knee replacement, though coordination and return-to-work support could be improved.
Positive experiences support bundled physiotherapy post-TKR; leaves open prospective evaluation of coordination and return-to-work support.
Purpose: Research on fiscal implications of the bundled care (BC) model exist; however, patient-perceived experiences are less well known. As BC expands in Ontario, this study aims to examine these experiences with physiotherapy care within the total knee replacement (TKR) BC programme. Methods: Qualitative cross-sectional study design. Semi-structured one-on-one telephone interviews were conducted with eight patients four to six weeks post-TKR. Thematic analysis was used. Results: This exploratory study identified three themes across the care journey that patients perceived as influencing their physiotherapy experiences: timely access to physiotherapy care, quality of physiotherapy care, and patient outcomes. Communication, clinical support, and social support were sub-themes. Conclusions: Patients' overall experiences with BC physiotherapy were positive. Areas for improvement included coordination of postoperative physiotherapy and return-to-work support. Patients valued group settings and were interested in meeting previous TKR patients. Health system planners are advised to consider incorporating patient experiences when evaluating and developing BC programmes to achieve patient-centred outcomes.
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Chen et al. (2022) studied this question.
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