title: Musculoskeletal services in primary care in the Republic of Ireland: an insight into the perspective of physiotherapists.
abstract: OBJECTIVE
  With a shift in musculoskeletal physiotherapy from secondary to primary care in Ireland, this study aimed to explore physiotherapists' experiences of providing musculoskeletal physiotherapy in primary care to gain an insight into their changing roles, challenges in service delivery and continuing professional development (CPD) needs.
  
  
  METHODS
  Qualitative design using focus group interviews.
  
  
  METHODS
  Primary care physiotherapy services in the Republic of Ireland.
  
  
  METHODS
  Four focus groups with four junior and 15 senior physiotherapists working in a musculoskeletal public primary care setting took place nationally, representing an urban and rural case mix.
  
  
  RESULTS
  Physiotherapists identified significant differences in the provision of musculoskeletal physiotherapy services across primary care sites. A number of environmental barriers were identified that impacted on service delivery, including physical infrastructure, equipment, interaction with acute sites, administration support and engagement in CPD. The role of the physiotherapist in the context of the broader multidisciplinary team also emerged as a theme, as well as the balance between the generalist versus specialist role of the physiotherapist in the primary care setting.
  
  
  CONCLUSIONS
  Considerable variation exists in the provision of physiotherapy, and CPD opportunities and support across primary care sites. Future research should focus on pragmatic methods to optimise service delivery and patient care in this setting.
authors.affiliation: School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland. Electronic address: hfrench@rcsi.ie.
authors.forename: H P
authors.initials: HP
authors.lastname: French
authors.affiliation: Discipline of Physiotherapy, Department of Clinical Therapies, University of Limerick, Limerick, Ireland.
authors.forename: R
authors.initials: R
authors.lastname: Galvin
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004777:Environment; D005260:Female; D017144:Focus Groups; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007494:Ireland; D008297:Male; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D010348:Patient Care Team / Q000458:organization & administration; D059825:Physical Therapists / Q000523:psychology*; D026741:Physical Therapy Modalities; D024382:Professional Role; D036301:Qualitative Research
keywords: Multidisciplinary teams; Physiotherapy; Primary health care; Qualitative research; Service provision