Video-based First-contact Physiotherapy in Primary Care

This study aims to evaluate the effects and implications of using video-based first-contact consultation in primary care physiotherapy, compared with traditional in-person consultation for musculoskeletal symptoms. The participants with musculoskeletal symptoms will receive either a video-based first contact physiotherapy consultation or an in-person first-contact physiotherapy consultation and will be followed for up to two years. The project addresses clinical effectiveness, healthcare utilisation, cost-effectiveness, and carbon footprint, according to the following specific aims. Objectives * To evaluate whether a video-based first-contact consultation with a physiotherapist is not clinically inferior to an in-person first-contact consultation, using the Patient-Specific Functional Scale (PSFS) as the primary outcome measure and multiple secondary outcomes assessed over time. * To analyse healthcare utilisation in primary and specialist care at 12 and 24 months following a video-based first-contact consultation, compared with an in-person first contact consultation. * To evaluate whether a video-based first-contact consultation with a physiotherapist is cost-effective from a healthcare perspective and in terms of environmental impact compared with an in-person first contact consultation.

Inclusion Criteria: * Age 18 years or older. * Musculoskeletal complaints. * Sufficient linguistic and cognitive ability to read, understand, and complete a web-based application form and provide informed consent in Swedish. * Willing to attend the clinic in person. Exclusion Criteria: * Ongoing treatment for the current condition with planned follow-up by a physiotherapist. * Lack of access to technology capable of supporting video consultations (e.g., smartphone, computer, or tablet).