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PHYS THER
Vol. 77, No. 9, September 1997, pp. 918-932

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Research Reports

The Effect of Hospital Restructuring on the Role of Physical Therapists in Acute Care

Rosalie B Lopopolo

RB Lopopolo, MBA, PT, is Assistant Professor, Department of Physical Therapy, Beaver College, 450 S Easton Rd, Glenside, PA 19038 (USA) (lopopolo@castle.beaver.edu).

Background and Purpose. The purpose of this study was to develop a conceptual model describing the effect of hospital restructuring on the role of physical therapists working in an acute care hospital. Subjects and Methods. Organizational and role changes within a single physical therapy department undergoing restructuring were identified using a qualitative case study methodology. Data were gathered from semistructured interviews of four key informants, observations, and artifacts. A conceptual model and case study were developed from the themes that emerged from the data. Findings and Discussion. Role changes for physical therapists in patient care delivery included "being flexible," "being productive," "being responsible for the care of all patients," "focusing on patient discharge," and "using support staff." Roles changes in professional interaction included "sharing knowledge and information" and "helping, sharing, and coordination work." Implications for physical therapy are discussed.

Key Words: Clinical management • Hospital restructuring • Organizational change • Professional roles


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