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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Lautam\u00e4ki, Lari", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-01-30T11:06:11Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-01-30T11:06:11Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/67618", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4m\u00e4n pro gradu- tutkielman tavoitteena oli selvitt\u00e4\u00e4 potilasj\u00e4rjestelmist\u00e4 saadun informaation perusteella suoravastaanottotoiminnan vaikutuksia TULE-potilaiden potilasvirtoihin Keski-Suomessa ja selvitt\u00e4\u00e4 voidaanko toiminnalla tehostaa TULE- potilaiden hoitoa. \nKeski-Suomen sairaanhoitopiirin alueella koulutettiin 28 julkisen terveydenhuollon fysioterapeuttia suoravastaanottoty\u00f6h\u00f6n vuosina 2012\u201313. Suoravastaanotto k\u00e4ynnistettiin koulutusprojektin j\u00e4lkeen portaittain vuoden 2013 alusta. T\u00e4ss\u00e4 tutkimuksessa tarkasteltiin tietoj\u00e4rjestelmist\u00e4 fysioterapeutin suoravastaanoton ja l\u00e4\u00e4k\u00e4rien TULE-potilaiden k\u00e4yntitietoja vuonna 2014.\nFysioterapeutin suoravastaanotto k\u00e4sitti yhteens\u00e4 2 398 TULE-potilask\u00e4ynti\u00e4 vuoden aikana, joka oli 5 % perusterveydenhuollon l\u00e4\u00e4k\u00e4rien vastaanotolla k\u00e4yvien TULE-potilaiden m\u00e4\u00e4r\u00e4st\u00e4. L\u00e4\u00e4k\u00e4rien avosairaanhoidon vastaanotoille tehtiin 302 873 k\u00e4ynti\u00e4, joista TULE-potilask\u00e4ynneiksi oli kirjattu 50 822 (17 %). Fysioterapeutin suoravastaanoton osuus alueen TULE-potilask\u00e4ynneist\u00e4 oli 5 %. Suoravastaanoton potilaista 4% (n=110) ohjattiin jatkohoitoon l\u00e4\u00e4k\u00e4rille. Suurin osa suoravastaanoton potilaista hakeutui hoitoon selk\u00e4vaivan (50 %) takia. Niskavaivojen sek\u00e4 yl\u00e4 - ja alaraajavaivojen osuudet olivat kussakin ryhm\u00e4ss\u00e4 14\u201315 %\nTutkimuksen mukaan suoravastaanotolle on mahdollista p\u00e4\u00e4st\u00e4 kaikissa TULE-sairauksissa Keski-Suomen sairaanhoitopiirin jokaisessa viidess\u00e4 perusterveydenhuollon kuntayhtym\u00e4ss\u00e4. Suoravastaanotto on volyymiltaan pient\u00e4 ja TULE - potilaat kuormittavat edelleen l\u00e4\u00e4k\u00e4rien vastaanottoja. Toimintaa laajentamalla voidaan tehostaa TULE-potilaiden hoitoa ja v\u00e4hent\u00e4\u00e4 l\u00e4\u00e4k\u00e4rien kuormitusta sek\u00e4 mahdollisesti v\u00e4hent\u00e4\u00e4 kustannuksia, sill\u00e4 vain pienell\u00e4 osalla suoravastaanotolle ohjautuneista potilaista todettiin tarve jatkohoitoon l\u00e4\u00e4k\u00e4rille.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The aim of the study was to evaluate if the direct access service has the potential to enhance musculoskeletal patients\u2019 treatment. Between the years 2012\u20132013, 28 physiotherapists working in the public sector in Central Finland were trained to work in the direct access services. After the training, the direct access service model was launched during the year 2013. This study examines the data on patient visits to direct access and physician practices collected from the patient information system in 2014.\n\nDuring the research period the number of direct access patient visits was 2398. At the same time, 50,822 visits of patients with musculoskeletal diseases to physicians\u2019 practices were recorded, which is 17% of all visits (302,873). Thus, direct access visits accounted for 5% of musculoskeletal patient visits. Four percent of these were further referred to a physician. Most of the patients received treatment for lumbar pain (50%). The percentage of neck pain, and upper/lower limb pain was 14-15%. \n\n\nIn Central Finland patients with musculoskeletal diseases have a possibility to access physical therapy without seeing a physician first. Direct access is still a small-scale service, because of a lack of resources. Expanding the service could speed up the treatment of musculoskeletal patients, decrease physician workloads and potentially lower healthcare costs, because only small proportions of direct access patients were found to be in need of physicians\u2019 services.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-01-30T11:06:11Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-01-30T11:06:11Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "51", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.title", "value": "Fysioterapeutin suoravastaanoton toteutuminen Keski-Suomen sairaanhoitopiiriss\u00e4", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202001301887", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapeutit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveyspalvelut", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tuki- ja liikuntaelinten taudit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "l\u00e4\u00e4k\u00e4rit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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