The podiatric vision on the first steps for developing podiatric surgery in the Netherlands
Lansink, D. (2013) The podiatric vision on the first steps for developing podiatric surgery in the Netherlands, no. 108.
Background: Foot surgery in many parts of the world is presently carried out by both podiatric and orthopedic surgeons (Martin and Bristow 2006;O'Kane and Kilmartin 2007). And with the current demographic development, the second highest percentage of the gross domestic product (GDP) in care expenditures of the world (RIVM 2012a) and the prognosis that the orthopedic surgeons will not be able to cover the orthopedic care in the future (Capaciteitsorgaan 2010;NOV 2011b) it might be good to look at the option of podiatrists performing surgery in the Netherlands. Therefore the aim of this study was to determine the opinion of the Dutch podiatrist to an alteration of the professions' scope of practice in terms of podiatric surgery. Methodology: The design of the study is an exploratory mixed method questionnaire based survey, and can be identified as a within-stage mixed model research type VII according to Tashakkori and Teddlie (1998). Results: The results of the 181 questionnaires are presented, which is equal to a response rate of 29.1%. From the participants 24% was male and 76% was female, with an average age of 35.8 years (range 21-66, median 34). With an inductive approach of analyzing, the responses are being presented using tables, graphs and figures, but also using thematical narratives with extracts from the survey answers. Conclusion: Opinions and ideas from the Dutch podiatrists regarding podiatric surgery are still in a very early stage, with a wide variation in theoretical framework and background from which answers to this survey are given. Overall it can be concluded that the majority of the participants are in favor of podiatric surgery, but there are still points to come across.