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Phys. Ther. Korea 2023; 30(2): 87-91

Published online May 20, 2023

https://doi.org/10.12674/ptk.2023.30.2.87

© Korean Research Society of Physical Therapy

Enhancing the Autonomy of Physical Therapy in Korea and Its Significance for the National Healthcare System: Facing the Challenges of a Super-aging Society

Ki-song Kim1,2 , PT, PhD

1Department of Physical Therapy, College of Life and Health Sciences, Hoseo University, 2Research Institute for Basic Sciences, Hoseo University, Asan, Korea

Correspondence to: Ki-song Kim
E-mail: kskim68@hoseo.edu
https://orcid.org/0000-0002-7184-3027

Received: April 22, 2023; Revised: May 7, 2023; Accepted: May 7, 2023

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Most advanced countries that are members of the World Physiotherapy have established a 4-year education system or specialized graduate school system for physical therapists based on national standards. They have also expanded their laws and systems to provide physical therapists with the autonomy and independence to offer services in their clinics. However, compared with developed countries in North America and Europe, there are issues with the autonomy and independence of physical therapists in Korea related to national regulations. Social status and recognition of the profession are also lagging. Korea is expected to become a super-aged society by 2025. To reduce the financial burden of healthcare and welfare on the government, it is necessary to extend the time spent by older adults on independent activities and minimize their time spent using medical services. To achieve this goal and maximize the active life of older adults, a plan to efficiently use licensed physical therapists in the country should be prepared. Korea should increase the license utilization rate of physical therapists to reduce waste at the national level and increase the professional hope of the younger generations of physical therapists. To create a healthcare policy focusing on the use of physical therapy personnel, similar to that in advanced countries, it is necessary to unify educational systems and produce excellent physical therapists. Providing professional autonomy can help physical therapists develop a sense of job satisfaction. Outstanding talent will choose physical therapy as a profession if they can see hope for their future careers, and if physical therapy services in Korea are similar to those delivered in advanced countries, physical therapy in Korea can develop into a healthcare service that people desire.

Keywords: Healthcare, Physical therapists, Professional autonomy, Super-aged society

Article

Special Contribution

Phys. Ther. Korea 2023; 30(2): 87-91

Published online May 20, 2023 https://doi.org/10.12674/ptk.2023.30.2.87

Copyright © Korean Research Society of Physical Therapy.

Enhancing the Autonomy of Physical Therapy in Korea and Its Significance for the National Healthcare System: Facing the Challenges of a Super-aging Society

Ki-song Kim1,2 , PT, PhD

1Department of Physical Therapy, College of Life and Health Sciences, Hoseo University, 2Research Institute for Basic Sciences, Hoseo University, Asan, Korea

Correspondence to:Ki-song Kim
E-mail: kskim68@hoseo.edu
https://orcid.org/0000-0002-7184-3027

Received: April 22, 2023; Revised: May 7, 2023; Accepted: May 7, 2023

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Most advanced countries that are members of the World Physiotherapy have established a 4-year education system or specialized graduate school system for physical therapists based on national standards. They have also expanded their laws and systems to provide physical therapists with the autonomy and independence to offer services in their clinics. However, compared with developed countries in North America and Europe, there are issues with the autonomy and independence of physical therapists in Korea related to national regulations. Social status and recognition of the profession are also lagging. Korea is expected to become a super-aged society by 2025. To reduce the financial burden of healthcare and welfare on the government, it is necessary to extend the time spent by older adults on independent activities and minimize their time spent using medical services. To achieve this goal and maximize the active life of older adults, a plan to efficiently use licensed physical therapists in the country should be prepared. Korea should increase the license utilization rate of physical therapists to reduce waste at the national level and increase the professional hope of the younger generations of physical therapists. To create a healthcare policy focusing on the use of physical therapy personnel, similar to that in advanced countries, it is necessary to unify educational systems and produce excellent physical therapists. Providing professional autonomy can help physical therapists develop a sense of job satisfaction. Outstanding talent will choose physical therapy as a profession if they can see hope for their future careers, and if physical therapy services in Korea are similar to those delivered in advanced countries, physical therapy in Korea can develop into a healthcare service that people desire.

Keywords: Healthcare, Physical therapists, Professional autonomy, Super-aged society

Table 1 . Current status of the autonomy and independence of physical therapists in developed countries that have joined the Organization for Economic Cooperation and Development (World Physiotherapy, 2023).

CountryMinimum qualification
required to practice
Academic yearaNumber of programAutonomy and
independenceb
NetherlandsBachelor412Yes
NorwayBachelor35Yes
New ZealandBachelor43Yes
DenmarkBachelor3.510Yes
GermanyDiploma3267No
LuxembourgMaster52Yes
United StatescProfessional doctorate7 (4+3)277Yes
BelgiumMaster417No
SwedenBachelor38Yes
SwissBachelor49Yes
IcelandMaster51Yes
IrelandMaster51Yes
United KingdomBachelor3105Yes
AustriaBachelor39No
ItalyBachelor342Yes
JapanDiploma3277No
CanadaMaster6 (4+2)15Yes
FranceMaster553Yes
FinlandBachelor3.515Yes
AustraliaBachelor450Yes

aSubstituted “equivalent fulltime years” into “academic years.” bSubstituted “act as first contact/autonomous practitioners” into “autonomy and independence.” cThe United States has an educational program of professional graduate school (3–4 years of university plus 3 years of professional graduate school, totalizing 6–7 years), which provides the title of Doctor of Physical Therapy (DP) and the autonomy and independence to work at own clinics; it also has an educational program of college (2 years, 5 semesters) for the title of Physical Therapy Assistant (PTA), which does not provide the professional with the autonomy and independence to deliver physical therapy services in own clinic..