Characteristics and determinants of community physiotherapy utilization and supply
Abstract Background Demand for Physiotherapy is on the rise due to increasing ageing population and consequent disability and morbidity. However, the costs of healthcare in developing countries are rising, and healthcare resources are limited making the supply of Physiotherapy services challenging i...
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-019-3994-4 |
| _version_ | 1811330847237734400 |
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| author | Chidozie Mbada Abraham Olawuyi Olufemi O. Oyewole Adesola C. Odole Abiola O. Ogundele Francis Fatoye |
| author_facet | Chidozie Mbada Abraham Olawuyi Olufemi O. Oyewole Adesola C. Odole Abiola O. Ogundele Francis Fatoye |
| author_sort | Chidozie Mbada |
| collection | DOAJ |
| description | Abstract Background Demand for Physiotherapy is on the rise due to increasing ageing population and consequent disability and morbidity. However, the costs of healthcare in developing countries are rising, and healthcare resources are limited making the supply of Physiotherapy services challenging in rural communities. Availability of Physiotherapy may help to reduce the burden of disability and enhance efficiency of healthcare systems. This study investigated the characteristics and associations of utilization and supply of community Physiotherapy in Nigeria. Methods Cross-sectional survey of 336 consenting community dwelling individuals from three selected communities in Nigeria was carried out. A three-section validated self-developed questionnaire which sought information on socio-demographics, utilization and supply of community Physiotherapy, as well as how to improve community Physiotherapy services was used. A household was used as the primary sampling unit in the study. Inferential and Descriptive statistics were used to assess the data. Results Lifetime, 12-month and point utilization of physiotherapy was 21.7, 7.4 and 2.7% respectively. Physiotherapy utilization was significantly associated with level of education (p = 0.007), belief on pain as “spiritual” (p = 0.020) and religious belief (p = 0.001). The respondents with primary, secondary and tertiary education were 14.3, 13.9 and 26 times more likely to utilize physiotherapy services, respectively. Those who ‘agree’ or were ‘not sure’ that their religious belief was against physiotherapy were 92 and 83% less likely to utilize physiotherapy services, respectively compared with those who ‘disagree’. Availability and supply of Physiotherapy services were mostly at the township teaching hospital (47.9%) and private hospitals (20.5%). The supply of Physiotherapy services within the communities was mostly on temporary basis (24.7%) and through visiting Physiotherapists (21.4%). Physiotherapy services utilized was mainly exercise (46.6%) and soft tissue mobilization (41.1%). Travel costs (32.6%), time constraints (27.9%) and work commitments (24.8%) were the constraints for Physiotherapy utilization while positive beliefs and higher education improved Physiotherapy utilization. Conclusions Utilization and supply of Physiotherapy services in Nigerian rural community was low. Low utilization of Physiotherapy services in Nigerian rural communities were most significantly influenced by low educational status and beliefs about pain. |
| first_indexed | 2024-04-13T16:10:12Z |
| format | Article |
| id | doaj.art-71f2a8a3872e48b6b2037faa4bb14723 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T16:10:12Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-71f2a8a3872e48b6b2037faa4bb147232022-12-22T02:40:18ZengBMCBMC Health Services Research1472-69632019-03-0119111010.1186/s12913-019-3994-4Characteristics and determinants of community physiotherapy utilization and supplyChidozie Mbada0Abraham Olawuyi1Olufemi O. Oyewole2Adesola C. Odole3Abiola O. Ogundele4Francis Fatoye5Department of Medical Rehabilitation, Obafemi Awolowo UniversityDepartment of Medical Rehabilitation, Obafemi Awolowo UniversityDepartment of Physiotherapy, Olabisi Onabanjo University Teaching HospitalDepartment of Physiotherapy, University of IbadanDepartment of Medical Rehabilitation, Obafemi Awolowo UniversityDepartment of Health Professions, Manchester Metropolitan UniversityAbstract Background Demand for Physiotherapy is on the rise due to increasing ageing population and consequent disability and morbidity. However, the costs of healthcare in developing countries are rising, and healthcare resources are limited making the supply of Physiotherapy services challenging in rural communities. Availability of Physiotherapy may help to reduce the burden of disability and enhance efficiency of healthcare systems. This study investigated the characteristics and associations of utilization and supply of community Physiotherapy in Nigeria. Methods Cross-sectional survey of 336 consenting community dwelling individuals from three selected communities in Nigeria was carried out. A three-section validated self-developed questionnaire which sought information on socio-demographics, utilization and supply of community Physiotherapy, as well as how to improve community Physiotherapy services was used. A household was used as the primary sampling unit in the study. Inferential and Descriptive statistics were used to assess the data. Results Lifetime, 12-month and point utilization of physiotherapy was 21.7, 7.4 and 2.7% respectively. Physiotherapy utilization was significantly associated with level of education (p = 0.007), belief on pain as “spiritual” (p = 0.020) and religious belief (p = 0.001). The respondents with primary, secondary and tertiary education were 14.3, 13.9 and 26 times more likely to utilize physiotherapy services, respectively. Those who ‘agree’ or were ‘not sure’ that their religious belief was against physiotherapy were 92 and 83% less likely to utilize physiotherapy services, respectively compared with those who ‘disagree’. Availability and supply of Physiotherapy services were mostly at the township teaching hospital (47.9%) and private hospitals (20.5%). The supply of Physiotherapy services within the communities was mostly on temporary basis (24.7%) and through visiting Physiotherapists (21.4%). Physiotherapy services utilized was mainly exercise (46.6%) and soft tissue mobilization (41.1%). Travel costs (32.6%), time constraints (27.9%) and work commitments (24.8%) were the constraints for Physiotherapy utilization while positive beliefs and higher education improved Physiotherapy utilization. Conclusions Utilization and supply of Physiotherapy services in Nigerian rural community was low. Low utilization of Physiotherapy services in Nigerian rural communities were most significantly influenced by low educational status and beliefs about pain.http://link.springer.com/article/10.1186/s12913-019-3994-4Demand and supplyPhysiotherapy servicesCommunity physiotherapyRural communityNigeria |
| spellingShingle | Chidozie Mbada Abraham Olawuyi Olufemi O. Oyewole Adesola C. Odole Abiola O. Ogundele Francis Fatoye Characteristics and determinants of community physiotherapy utilization and supply BMC Health Services Research Demand and supply Physiotherapy services Community physiotherapy Rural community Nigeria |
| title | Characteristics and determinants of community physiotherapy utilization and supply |
| title_full | Characteristics and determinants of community physiotherapy utilization and supply |
| title_fullStr | Characteristics and determinants of community physiotherapy utilization and supply |
| title_full_unstemmed | Characteristics and determinants of community physiotherapy utilization and supply |
| title_short | Characteristics and determinants of community physiotherapy utilization and supply |
| title_sort | characteristics and determinants of community physiotherapy utilization and supply |
| topic | Demand and supply Physiotherapy services Community physiotherapy Rural community Nigeria |
| url | http://link.springer.com/article/10.1186/s12913-019-3994-4 |
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