INTEGRATING PHYSIOTHERAPISTS INTO PRIMARY HEALTH CARE IN SAUDI ARABIA: A CROSS-SECTION SURVEY

Purpose: This study aimed to explore the experiences of physiotherapists regarding their integration and identify the facilitators and challenges they encountered in primary health care. Understanding the perceived barriers, facilitators, and management strategies for successful integration is crucial in developing an informed framework to support future integration initiatives. Method: The study included eligible participants who were practicing physiotherapists, regardless of gender. Inclusion criteria required active engagement in the profession and possession of a Bachelors degree in physiotherapy. On the other hand, unemployed physiotherapists, individuals above 60 years of age, non-practicing physiotherapists, and those with degrees in technical studies were excluded from the study. Data was collected using a cross-sectional observational design through an Internet-based survey. The survey was conducted using the secure and anonymous Survey Monkey platform, ensuring participant confidentiality and obtaining informed consent. The survey specifically targeted registered physiotherapists in Saudi Arabia, allowing for the collection of valuable data from this specific population. Results: Upon analyzing the survey data, a total of 39 responses were received. The demographic breakdown of the respondents revealed that 46% of the completed questionnaires were filled out by therapists working in the Eastern province. The survey also shed light on the work experience of the participants, with a significant portion (43%) having practiced as therapists for 6-10 years. Regarding their professional environment, 73% of participants strongly agreed on the importance of teamwork, while 68% acknowledged the role of effective communication in their work. Furthermore, a substantial 70% strongly agreed that there is a lack of efficient space for physical therapy within primary healthcare (PHC) facilities. Resources were also identified as a challenge, with 65% of respondents indicating a shortage of necessary equipment and resources for physical therapy in PHC. Conclusions: The survey responses provide valuable insights into the challenges and barriers related to integrating physical therapy into the primary healthcare (PHC) setting. These challenges range from a lack of understanding and clear referral processes to issues with space, resources, and workload. These findings can inform strategies aimed at improving the integration and delivery of physical therapy services within PHC, address the identified challenges, and enhance the overall quality of care.