Physiotherapists perceptions on informed consent and role in the healthcare system, in Europe

IntroductionPhysiotherapy has developed over the last century, and the physiotherapists professional identity is growing. The heterogeneity of physiotherapy studies in Europe, local government, and health policies have influenced the responsibilities and ethical reasoning of physiotherapists. Our study aims to explore the perceptions and differences regarding informed consent (IC) and the role of physiotherapists in healthcare in an educational, legislative, and health policy context.\n\nMaterial and MethodsA cross-sectional survey was distributed online to physiotherapist graduates in Europe. The survey contained two open questions regarding IC and assumed role in healthcare. The data was operated to and analyzed by using a theory-based approach (open and axial coding), providing a qualitative spectrum of categories for the two items linked on IC and the role in healthcare.\n\nResultsEight categories of issues related to IC and seven categories related to the role in healthcare were identified. The physiotherapist graduates from Romania, France, Belgium, Italy, and other countries from inside and outside European Union response rate was 81.85% (n = 248 from 303) for the item related to IC and 71.62% (n = 217) to the second item related to the role in healthcare. A percent of 24.20% (n=60) are still considering IC a simple patient information process, while 23.40% (58) have linked IC with ethically and legally issues, 21.67% (n=51) of physiotherapists are minimizing their role in healthcare at restoring physical independence, while 6.91% (n=27) are aware of their multidisciplinary role. The country comparison analysis revealed that physiotherapists from UK and Italy are more aware regarding IC and that physiotherapists from Belgium and France are better oriented regarding their role in healthcare.\n\nConclusionsThe study shows that heterogeneity, legislation, and healthcare system differences influence physiotherapists professional development. Future research is needed to establish the reason for the reduced perception of physiotherapists regarding their role as health promoters.