Professional Ethics in Physiotherapy: Existing Challenges and Flaws
Introduction: Physiotherapy requires close and prolonged contact of physical therapist with patient during several sessions. For this reason, many associations in other countries have formulated code of ethics for physiotherapy which referred to the most important responsibilities in this field. Despite formulation of ethical codes in many countries, these codes have not yet been outlined in Iran. Therefore, this research has been conducted to identify the physiotherapy ethical imperfections and challenges and in Iran.
Materials and Methods: This study was a qualitative research in which methods of interview with authorities and focused group discussions were used. Participants in this study were 15 persons, who were purposefully selected from four professional groups including physicians, physical therapists, specialists on medical ethics and directors of physiotherapy centers.
Results: After data saturation, texts of interviews were typed verbatim. These texts were repeatedly studied by the interviewer and their results were 187 raw and rudimentary sentences. Extracted data were analyzed, reviewed and revised by the authorities on the subject and eventually the data were arranged in 4 domains of patient, physician, physical therapist, and treatment center.
Conclusion: Findings of this research indicate the ethical challenges present in our country in the field of physiotherapy in four domains. To promote professional ethics in physiotherapy, all four parties should be aware of their rights and duties and follow ethical principles and regulations.
Beauchamp TL, Childress JF. Principles of biomedical ethics. New York: Oxford University Press; 2013.
World Confederation for Physical Therapy. Ethical Principles [Internet]. 2017 [Updated 2017 April 13]. Available from: www.wcpt.org/ethical -principles
World Confederation for Physical Therapy. Policy statement: Ethical responsibilities of physical therapists and WCPT members [Internet]. 2017 [Updated 2017 April 18]. Available from: www.wcpt.org/policy/ps-ethical-responsibilities
American Physical Therapy Association. Code of Ethics for the Physical Therapist. Virginia: American Physical Therapy Association; 2010.
http://www.scpt.org/document/3556/Harmonized_Code_of_Ethical_Conduct.pdf [Updated 2016 July 15]
Singer E, Couper MP. Some Methodological Uses of Responses to Open Questions and Other Verbatim Comments in Quantitative Surveys. Methods, Data, Analyses. 2017; 11(2):115-134. [DOI: 10.12758/mda.2017.01]
Escalada M, Heong KL. Focus group discussion [Internet]. 2014 [Updated 2014 May 23]. Available from: https://www.researchgate.net/publication/242589494_Focus_Group_Discussion_1
Parsa M, Larijani B, Aramesh K, Nedjat S, Fotouhi A, Yekaninejad MS, et al. Fee splitting among general practitioners: A cross-sectional study in Iran. Archives of Iranian Medicine. 2016; 19(12):861-5. [PMID]
American Psychiatric Association. Know the law on fee splitting [Internet]. 2006 [Updated 2006 November 2006]. Available from: http://psychnews.psychiatryonline.org/doi/10.1176/pn.41.21.0019c
Miller C. Health law: Splitting fees or splitting hairs? Virtual Mentor. 2009; 11(5): 387–89 [DOI:10.1001/virtualmentor.2009.11.5.hlaw1-0905] [PMID]
Choudhry S, Choudhry NK, Brown AD. Unregulated private markets for health care in Canada? Rules of professional misconduct, physician kickbacks and physician self-referral. Canadian Medical Association Journal. 2004; 170(7):1115–8 [DOI:10.1503/cmaj.1031363] [PMID] [PMCID]
World Confederation for Physical Therapy. Policy statement: Direct access and patient/client sel-referral to physical therapy. [Internet]. 2017 [Updated 2017 April 10]. Available from: www.wcpt.org/policy/ps-direct-access
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