Journal Article Ahead of print
PubMed: 42555761 DOI: 10.1177/1357633X261471678
Agreement between face-to-face and telehealth physical therapy triage decisions in a routine outpatient setting.
J Telemed Telecare
Authors: Zafnat Sharvit, Alon Kalron
Affiliations
- Department of Physical Therapy, School of Health Professions, Gray Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel. Department of Physiotherapy, Clalit Healthcare Services, Tel-Aviv, Israel.
- Department of Physical Therapy, School of Health Professions, Gray Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel.
- School of Neuroscience, Tel-Aviv University, Tel-Aviv, Israel.
Abstract
BackgroundTelehealth has increasingly been integrated into physiotherapy services to improve access and reduce waiting times. However, evidence regarding agreement between telehealth and face-to-face physiotherapy triage decisions remains limited, particularly in routine outpatient settings.MethodsA repeated-measures agreement study was conducted to evaluate the use of telehealth for physiotherapy triage in an outpatient clinic. Adults referred for physiotherapy triage due to chronic musculoskeletal conditions underwent two consecutive triage assessments, face-to-face and telehealth, performed by five independent physiotherapists. Agreement in treatment recommendations and in urgency classification was assessed using percentage agreement and Cohen's kappa or weighted kappa. Patient and physiotherapist satisfaction with telehealth triage was evaluated using visual analog scale questionnaires.ResultsThirty participants completed both triage assessments. Agreement between face-to-face and telehealth triage was moderate for treatment recommendations (70.0%, Kappa = 0.44) and lower for urgency classification (56.7%, weighted Kappa = 0.22), with variability across musculoskeletal conditions. Both patients and physiotherapists reported high levels of satisfaction with telehealth triage.ConclusionsTelehealth physiotherapy triage demonstrated moderate agreement with face-to-face assessments for treatment recommendations but limited agreement for urgency classification. While telehealth appears feasible for supporting treatment allocation, caution is warranted when using it to determine clinical urgency, and further standardization of urgency assessment is needed.
MeSH
Physical Therapists, Triage, Telemedicine, Classification, Therapeutics, Outpatients