[The evaluation of the structural quality of clinical physiotherapy protocols produced in primary care. Members of the Protocol Evaluation Team].
OBJECTIVE
To evaluate the quality of the design (structural) of the clinical protocols elaborated in all the health centers, ambulatory or consulting of Spain with protocolized physical therapy activities.


METHODS
Observational retrospective study lasting 7 years.


METHODS
Primary care of health. PARTICIPATING: All the clinical physical therapy protocols elaborated from 1990 to 1997.


METHODS
They are elaborated 8 criteria of quality of the design of the protocols. Assessment of the reliability inter-rather of those criteria, adding explanations to two of they. It is proceeded to the evaluation of the quality of the design of 158 gathered protocols, being obtained the number from nonfulfillments.


RESULTS
Compliance of the criteria: 49.36% (78) have record system. 32.91% (52) have anticipated their/its/your/his evaluation. 20.88% (33) have some algorithm. 38.6% (61) have page of history and/or specific exploration. 96.83% (153) have a minor extension of 20 pages. Only 22.15% (35) have index. 36.7% (58) do not have formal writing defects and legibility and 22.7% (36) provide bibliography. Only one of the eight criteria is complianced in more than 50% of the protocols; it being fulfilled in less than 30% other three. By and large the clinical protocols present a total of 758 defects, with a defects average by protocol of 5.24 (0 defects in a case).


CONCLUSIONS
The structural quality of the clinical physical therapy protocols elaborated in primary attention until 1997 is decreases (globally fulfil 40.03% of the proposed criteria). The decrease quality of the protocols is significantly heterogeneous between the autonomous community and the elaboration years. They are necessary corrective measures to improve this situation.
Medina i Mirapeix
P
P
Departamento de Fisioterapia, Medicina Preventiva y Salud Pública, Universidad de Murcia. mirapeix@fcu.um.es
Torres Vaquero
A I
AI
Saura Llamas
J
J
Saturno Hernández
P J
PJ
D002985:Clinical Protocols / Q000592:standards; D003151:Community Health Centers; D006801:Humans; D015588:Observer Variation; D026741:Physical Therapy Modalities / Q000592:standards* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000592:standards* / Q000706:statistics & numerical data; D011786:Quality Control; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013030:Spain
Evaluación de la calidad estructural de los protocolos clínicos de fisioterapia elaborados en atención primaria. Miembros del equipe de evaluacíon de protocolos.