Provision of Foot Health Services for People With Rheumatoid Arthritis in New South Wales: A Web-based Survey of Local Podiatrists

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aut.relation.issue1en_NZ
aut.relation.journalJournal of Foot and Ankle Researchen_NZ
aut.relation.volume6en_NZ
dark.contributor.authorHendry, GJen_NZ
dark.contributor.authorGibson, KAen_NZ
dark.contributor.authorPile, Ken_NZ
dark.contributor.authorTaylor, Len_NZ
dark.contributor.authordu Toit, Ven_NZ
dark.contributor.authorBurns, Jen_NZ
dark.contributor.authorRome, Ken_NZ
dc.date.accessioned2017-03-21T22:49:07Z
dc.date.available2017-03-21T22:49:07Z
dc.date.copyright2013-08-26en_NZ
dc.date.issued2013-08-26en_NZ
dc.description.abstractBackground: It is unclear if podiatric foot care for people with rheumatoid arthritis (RA) in New South Wales (NSW) meets current clinical recommendations. The objective of this study was to survey podiatrists' perceptions of the nature of podiatric foot care provision for people who have RA in NSW.Methods: An anonymous, cross-sectional survey with a web-based questionnaire was conducted. The survey questionnaire was developed according to clinical experience and current foot care recommendations. State registered podiatrists practising in the state of NSW were invited to participate. The survey link was distributed initially via email to members of the Australian Podiatry Association (NSW), and distributed further through snowballing techniques using professional networks. Data was analysed to assess significant associations between adherence to clinical practice guidelines, and private/public podiatry practices.Results: 86 podiatrists participated in the survey (78% from private practice, 22% from public practice). Respondents largely did not adhere to formal guidelines to manage their patients (88%). Only one respondent offered a dedicated service for patients with RA. Respondents indicated that the primary mode of accessing podiatry was by self-referral (68%). Significant variation was observed regarding access to disease and foot specific assessments and treatment strategies. Assessment methods such as administration of patient reported outcome measures, vascular and neurological assessments were not conducted by all respondents. Similarly, routine foot care strategies such as prescription of foot orthoses, foot health advice and footwear were not employed by all respondents.Conclusions: The results identified issues in foot care provision which should be explored through further research. Foot care provision in NSW does not appear to meet the current recommended standards for the management of foot problems in people who have RA. Improvements to foot care could be undertaken in terms of providing better access to examination techniques and treatment strategies that are recommended by evidence based treatment paradigms. © 2013 Hendry et al.; licensee BioMed Central Ltd.en_NZ
dc.identifier.citationJournal of Foot and Ankle Research20136:35 DOI: 10.1186/1757-1146-6-35
dc.identifier.doi10.1186/1757-1146-6-35en_NZ
dc.identifier.issn1757-1146en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/10397
dc.languageengen_NZ
dc.publisherBioMed Central
dc.relation.urihttp://jfootankleres.biomedcentral.com/articles/10.1186/1757-1146-6-35
dc.rightsThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectCare accessen_NZ
dc.subjectFoot healthen_NZ
dc.subjectFootwearen_NZ
dc.subjectPodiatryen_NZ
dc.subjectRheumatoid arthritisen_NZ
dc.subjectWeb surveyen_NZ
dc.titleProvision of Foot Health Services for People With Rheumatoid Arthritis in New South Wales: A Web-based Survey of Local Podiatristsen_NZ
dc.typeJournal Article
pubs.elements-id154196
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
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