O SPLIT programme, an innovative referral model for physiotherapy treatment for patients with low back pain (LG), has been approved to join the 1st phase of the Sustainable Health Pact (PaSSuS) 2030which is being publicly signed this Wednesday.
The submission presented by Order of Physiotherapists has been approved and is being celebrated at the Aga Khan Foundation's Ismaili Centre in Lisbon, at a launch event that marks the beginning of the process of implementing the National Health Plan (PNS) 2030The 2nd Vice-President of the Board, Conceição Bettencourt, and the Coordinator of the Studies and Planning Office of the Order of Physiotherapists and the researcher responsible for the SPLIT programme, Eduardo Cruz.
A Order of Physiotherapists is already part of the Monitoring Committee of the PNS since April 2022 and also becomes one of the PaSSuS 2030 entities, which will participate in a monitoring and evaluation process, under the technical coordination of the Directorate-General for Health/PNS, of the actions they undertake to implement.
SPLIT programme: an opportunity to innovate in primary healthcare
With the aim of improving the quality, clinical outcomes and cost-utility of the care provided to people with low back pain (LG) who use primary health care, was developed e implemented, at the level of the Arrábida Health Centre Grouping - ARSLVT, the SPLIT programme.
It is a stratified care programme that suggests, after the first consultation with the General Practitioner, the early referral of patients with LG to the Physiotherapist, who applies the intervention programme and monitors the patient according to their risk of developing persistent and disabling LG.
In terms of results, in a sample of around 500 users recruitedThis programme has enabled reduce the likelihood of users suffering from persistent and disabling LG by around 80%, 6 months after the initial consultation, e compared to the usual practice described above.
Also in terms of prescription of complementary diagnostic means and medication, this programme has enabled reduce each of the indicators by around 30%.
A low back pain (LG) is a common health condition whose management represents a challenge for the Portuguese health system. Because it causes high and persistent chronic disability, especially in people of working age, LBP is often associated with productivity losses, absenteeism from work, early retirement and consumption of health resources. As well as being the main cause of disabilityis also one of the main reasons for consultation in primary health care (PHC). Worryingly, it is estimated that the prevalence and impact of LG will continue to grow in the coming years.
O SPLIT programme is now part of the 1st phase of the Sustainable Health Pact 2030 and the beginning of the process of implementing the National Health Plan 2030This is a collaborative process that guides and influences public policies, and it is proposed that it be applied to other healthcare facilities that already have physiotherapists on board.
A Order of Physiotherapists welcomes the possibility and responsibility of participating in the construction of the PNS 2030, considering the "Sustainable Health: From Everyone to Everyone" decisive for the valorisation of Physiotherapy and the Physiotherapistsas health actors.