Management in Physical Therapy Practices.
Article Type: Book review
Subject: Books (Book reviews)
Author: Chadwick, Martin
Pub Date: 11/01/2010
Publication: Name: New Zealand Journal of Physiotherapy Publisher: New Zealand Society of Physiotherapists Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 New Zealand Society of Physiotherapists ISSN: 0303-7193
Issue: Date: Nov, 2010 Source Volume: 38 Source Issue: 3
Topic: NamedWork: Management in Physical Therapy Practices (Nonfiction work)
Persons: Reviewee: G., Catherine
Accession Number: 263880359
Full Text: Management in Physical Therapy Practices. Catherine G. Page, PT, MPH, PhD 2009. F. A. Davis Company, Philadelphia. ISBN 978-0-8036-1872-5. Softcover 314 pages Recommended retail price $US 47.95

Because of the complexities of management and the multilayered construct of health, any book on management, let alone management in physical therapy (physiotherapy), can only at best be a summary. This text sets out to do exactly that, to be a guide to help any physiotherapist aspiring to transition to management, whether their decision be a conscious choice or one that is dictated by circumstance. The author readily acknowledges that this text cannot be exhaustive and aims to promote conversation around its key points. As a text focused on the US healthcare environment it has a very clear bias to this end, and there are going to be components that are unique to this setting; it needs to be read with this in mind.

The book is organised into twenty chapters grouped into three sections. The first section is an introduction to management and physical therapy in healthcare. It aims to give an overview of the business in which healthcare occurs and the complexity around this. The section introduces some of the concepts that govern or explain how organisations function and the context of health. Again there is a unique application to the US setting, so while the theory is transferable to the New Zealand setting, the specifics do not translate as easily.

The second section deals with the responsibilities of managers of physiotherapy services i.e. that of running a healthcare business. The concepts that underpin this chapter are more universal and so more directly applicable. However, there is an inability to go into the depth that is required to understand these nuances in less than 200 pages.

The third section attempts to take the concepts of the previous two sections and apply them to specific clinical settings: long term care, outpatient centres, special education units in schools, home health agencies and hospitals. Each area is considered in the current (US) context of healthcare and then the core responsibilities of the physiotherapy manager. Any text which attempts to consider such scope as this text, would be incomplete without a final chapter which considers the future of the profession.

The overall flow of the text is well organised with good use of diagrams to summarise the key concepts. There is liberal use of case studies and activity boxes that could be well used in a classroom setting. Each chapter begins with the learning objectives of the chapter. The author of this text maintains the premise that the text is an overview of physical therapy management only, considering the challenges of managing physiotherapy in complex healthcare environments. Despite this it occasionally lacks sufficient detail around organisational / management / leadership theories. With a focus on the US healthcare environment, there are components that do not seem applicable to the New Zealand environment, but ironically many of the issues we face are not dissimilar.

In summary, this is a competent text that achieves its aims.

Martin Chadwick MHS, PG Dip HS, MPNZ

Director Allied Health

Counties Manukau District Health Board
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