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Review Article

JCR. 2019; 6(6): 15-23


A SCOPING REVIEW OF THE UNMET NEEDS FOR PHYSIOTHERAPY SERVICES FOR THE PEDIATRIC POPULATION IN CANADA

MELANIE LYONS, ANNE STOKES, JUSTIN PARKER, SANDRA HANNA, SARAH WOJKOWSKI.

Abstract
The purpose of this review was to investigate the types of unmet needs for Physiotherapy (PT) services for the pediatric population in Canada. This
scoping review was completed between January and July 2019. Recommendations by Arksey and O’Malley and Levac et al. informed the review.
Four reviewers independently reviewed 2575 abstracts, of which 81 articles were selected for full-text review. Data was extracted from a final total
of 24 articles. The access framework proposed by McIntyre et al. was used for thematic analysis of the data and to draw results. Most unmet needs
were identified in the context of multidisciplinary rehabilitation services, including PT. Unmet needs were most commonly identified in the domains
of availability (e. g. physical or geographic access) and acceptability (e. g. concordance of expectations for care between clients and healthcare
providers). Increased coordination of care, appropriate information for parents, clarification of roles and expectations for providers and parents,
and decreased wait times were the most commonly reported unmet needs. To meet the needs of the pediatric population Physiotherapists (PTs)
and rehabilitation teams would benefit from maximizing collaboration and communication between providers and families and engaging in service
reorganization efforts to improve wait times and coordination of services.

Key words: Physiotherapy, Rehabilitation, Pediatrics, Unmet need, Accessibility, Service delivery, Canada, Scoping review


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