{"id":"https://openalex.org/W28297859","doi":"https://doi.org/10.5694/j.1326-5377.2007.tb01079.x","title":"Experienced physiotherapists as gatekeepers to hospital orthopaedic outpatient care","display_name":"Experienced physiotherapists as gatekeepers to hospital orthopaedic outpatient care","publication_year":2007,"publication_date":"2007-06-01","ids":{"openalex":"https://openalex.org/W28297859","doi":"https://doi.org/10.5694/j.1326-5377.2007.tb01079.x","mag":"28297859","pmid":"https://pubmed.ncbi.nlm.nih.gov/17576177"},"language":"en","primary_location":{"id":"doi:10.5694/j.1326-5377.2007.tb01079.x","doi":"https://doi.org/10.5694/j.1326-5377.2007.tb01079.x","is_oa":false,"landing_page_url":"https://doi.org/10.5694/j.1326-5377.2007.tb01079.x","pdf_url":null,"source":{"id":"https://openalex.org/S13978405","display_name":"The Medical Journal of Australia","issn_l":"0025-729X","issn":["0025-729X","1326-5377"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Journal of Australia","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5025438391","display_name":"Leonie B. Oldmeadow","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189966903","display_name":"Northern Health","ror":"https://ror.org/009k7c907","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903"]},{"id":"https://openalex.org/I2801993434","display_name":"The Alfred Hospital","ror":"https://ror.org/01wddqe20","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2801993434","https://openalex.org/I4210163178"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Leonie B Oldmeadow","raw_affiliation_strings":["Northern Hospital, Melbourne, VIC","The Alfred Hospital, Melbourne, VIC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Hospital, Melbourne, VIC","institution_ids":["https://openalex.org/I189966903"]},{"raw_affiliation_string":"The Alfred Hospital, Melbourne, VIC","institution_ids":["https://openalex.org/I2801993434"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088269346","display_name":"Harvinda S Bedi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189966903","display_name":"Northern Health","ror":"https://ror.org/009k7c907","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Harvinda S Bedi","raw_affiliation_strings":["Northern Hospital, Melbourne, VIC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Hospital, Melbourne, VIC","institution_ids":["https://openalex.org/I189966903"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052816536","display_name":"Hugh T Burch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189966903","display_name":"Northern Health","ror":"https://ror.org/009k7c907","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Hugh T Burch","raw_affiliation_strings":["Northern Health, Melbourne, VIC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Health, Melbourne, VIC","institution_ids":["https://openalex.org/I189966903"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058708404","display_name":"Jenni S Smith","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189966903","display_name":"Northern Health","ror":"https://ror.org/009k7c907","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Jenni S Smith","raw_affiliation_strings":["Northern Health, Melbourne, VIC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Health, Melbourne, VIC","institution_ids":["https://openalex.org/I189966903"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002819945","display_name":"Edmund S Leahy","orcid":"https://orcid.org/0000-0001-7217-0779","observed_orcids":["https://orcid.org/0000-0001-7217-0779"]},"institutions":[{"id":"https://openalex.org/I189966903","display_name":"Northern Health","ror":"https://ror.org/009k7c907","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Edmund S Leahy","raw_affiliation_strings":["Northern Hospital, Melbourne, VIC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Hospital, Melbourne, VIC","institution_ids":["https://openalex.org/I189966903"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044350273","display_name":"Miron Goldwasser","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189966903","display_name":"Northern Health","ror":"https://ror.org/009k7c907","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I189966903"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Miron Goldwasser","raw_affiliation_strings":["Northern Hospital, Melbourne, VIC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northern Hospital, Melbourne, VIC","institution_ids":["https://openalex.org/I189966903"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3400,"currency":"USD","value_usd":3400},"apc_paid":null,"fwci":12.9221,"has_fulltext":false,"cited_by_count":130,"citation_normalized_percentile":{"value":0.98168928,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":100},"biblio":{"volume":"186","issue":"12","first_page":"625","last_page":"628"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.5640000104904175,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.5640000104904175,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13946","display_name":"Musculoskeletal Disorders and Rehabilitation","score":0.17329999804496765,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.1444000005722046,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.7540000081062317},{"id":"https://openalex.org/keywords/general-practitioner-referral","display_name":"general practitioner referral","score":0.7369999885559082}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.905912458896637},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.6350027322769165},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5638815760612488},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5151001811027527},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.4788253605365753},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.4590848982334137},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.40595346689224243},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.19954705238342285},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.16045525670051575},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006786","descriptor_name":"Hospitals, Urban","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009140","descriptor_name":"Musculoskeletal Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009140","descriptor_name":"Musculoskeletal Diseases","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D009985","descriptor_name":"Orthopedics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014739","descriptor_name":"Victoria","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020793","descriptor_name":"Gatekeeping","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D026761","descriptor_name":"Physical Therapy Specialty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.5694/j.1326-5377.2007.tb01079.x","doi":"https://doi.org/10.5694/j.1326-5377.2007.tb01079.x","is_oa":false,"landing_page_url":"https://doi.org/10.5694/j.1326-5377.2007.tb01079.x","pdf_url":null,"source":{"id":"https://openalex.org/S13978405","display_name":"The Medical Journal of Australia","issn_l":"0025-729X","issn":["0025-729X","1326-5377"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Journal of Australia","raw_type":"journal-article"},{"id":"pmid:17576177","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17576177","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Medical journal of Australia","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","score":0.5199999809265137,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W1922031010","https://openalex.org/W1990641963","https://openalex.org/W1997416184","https://openalex.org/W2005660525","https://openalex.org/W2017158376","https://openalex.org/W2037222102","https://openalex.org/W2067012013","https://openalex.org/W2070729959","https://openalex.org/W2129920090","https://openalex.org/W2146518611","https://openalex.org/W2170066319","https://openalex.org/W2170114798","https://openalex.org/W2415059605","https://openalex.org/W2770547009"],"related_works":["https://openalex.org/W1976206241","https://openalex.org/W2035925631","https://openalex.org/W195875125","https://openalex.org/W2558709410","https://openalex.org/W3165677876","https://openalex.org/W3170782983","https://openalex.org/W2142324911","https://openalex.org/W2063504219","https://openalex.org/W2170066319","https://openalex.org/W2938720660"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"investigate":[2],"the":[3,20,46,122,126,149,160,165,178,197,203,208,219,249],"impact,":[4],"quality":[5],"and":[6,41,74,104,109,112,121,138,172,211,253,257],"acceptability":[7],"of":[8,56,68,84,100,114,116,132,151,164,207,216,225,251],"a":[9,25,97,156,246],"musculoskeletal":[10,61,229],"screening":[11,128],"clinic":[12],"provided":[13],"by":[14,66,76,177,232,259],"physiotherapists":[15,70,103,195],"for":[16,170,181,184,191,205],"patients":[17,58,86,135,167,226],"referred":[18,87,231],"to":[19,95,235,244],"outpatient":[21,238],"orthopaedic":[22,78,105,123,161,239],"department":[23,240],"at":[24,45,248],"major":[26],"metropolitan":[27],"hospital.":[28],"DESIGN,":[29],"SETTING":[30],"AND":[31],"PARTICIPANTS:":[32],"Prospective":[33],"observational":[34],"trial":[35],"undertaken":[36],"between":[37,102],"29":[38],"November":[39],"2005":[40],"6":[42],"June":[43],"2006":[44],"Northern":[47],"Hospital":[48],"(a":[49],"tertiary":[50],"teaching":[51],"hospital":[52],"in":[53],"outer":[54],"Melbourne)":[55],"52":[57,133],"with":[59,71,125,148,159,218,227],"non-urgent":[60,228],"conditions":[62,230],"who":[63,88],"were":[64,168,189,254],"assessed":[65,256],"one":[67,236],"two":[69],"postgraduate":[72],"qualifications":[73],"subsequently":[75],"an":[77],"surgeon.":[79,162],"MAIN":[80],"OUTCOME":[81],"MEASURES:":[82],"Proportion":[83],"new":[85],"could":[89],"have":[90],"been":[91],"managed":[92,258],"without":[93],"needing":[94],"see":[96,245],"surgeon;":[98],"level":[99],"agreement":[101],"surgeon":[106,124,179,204,247],"on":[107],"diagnoses":[108],"management":[110,176,200],"decisions;":[111],"levels":[113,215],"satisfaction":[115,217],"patients,":[117],"referring":[118],"general":[119],"practitioners":[120],"physiotherapist-led":[127,220],"initiative.":[129],"RESULTS:":[130],"45":[131],"selected":[134],"(31":[136],"women":[137],"21":[139],"men;":[140],"mean":[141],"age,":[142],"53.3":[143],"years)":[144],"attended":[145,155],"their":[146,233],"appointment":[147,158],"physiotherapist;":[150],"these,":[152],"38":[153,166],"also":[154],"later":[157],"Seven":[163],"listed":[169],"surgery,":[171],"seven":[173],"others":[174],"needed":[175],"(injection":[180],"three,":[182],"imaging":[183],"four).":[185],"Almost":[186],"two-thirds":[187,224],"(63%)":[188],"appropriate":[190],"non-surgical":[192],"management.":[193],"The":[194],"identified":[196],"same":[198],"patient":[199],"plans":[201],"as":[202],"74%":[206],"group.":[209],"Patients":[210],"doctors":[212],"reported":[213],"high":[214],"service.":[221],"CONCLUSIONS:":[222],"Nearly":[223],"GPs":[234],"public":[237],"did":[241],"not":[242],"need":[243],"time":[250],"referral,":[252],"appropriately":[255],"experienced,":[260],"qualified":[261],"physiotherapists.":[262]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":7},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":8},{"year":2015,"cited_by_count":8},{"year":2014,"cited_by_count":14},{"year":2013,"cited_by_count":10},{"year":2012,"cited_by_count":9}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}