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Review Article

JCR. 2016; 3(4): 17-23


A SCOPING REVIEW OF NEED AND UNMET NEED FOR COMMUNITY-BASED PHYSIOTHERAPY IN CANADA

SARAH WOJKOWSKI, JENNA SMITH, JULIE RICHARDSON, STEPHEN BIRCH, MICHAEL BOYLE.

Abstract
To investigate need and unmet need for community-based physiotherapy services (CBPTS) for Canadian adults. The scoping review was completed
between May-September 2015. The methodology proposed by Arksey and O’Malley and the recommendations to advance scoping studies by Levac
et al. were followed. The definitions of normative, felt, comparative, and expressed need were used to categorize need and the dimensions of
availability, affordability, and acceptability was used to categorize unmet need. Two reviewers (SW, JS) independently reviewed 2265 abstracts and
selected 191 articles for full-text review. Data extraction and thematic analyses were completed on 24 articles. Comparative need and service
availabilities were the most frequent type and reason identified for need and unmet need respectively. Individuals from rural communities and
persons living with chronic conditions more frequently identified barriers to accessing CBPTS. Unmet need for CBPTS exists in
Canada. Physiotherapists must consider innovative service delivery models in order to maximize population health outcomes and minimize stress
on health care systems like the Canadian population ages.

Key words: Unmet need, Access, Service delivery, Health care equity, Scoping review



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