Utilization, cost, payment, and patient satisfaction of rehabilitative services in Shandong, China

Zhao, Mei; Haley, D. Rob; Nolin, JoAnn M.; Dunning, Kerry; Wang, Jian; Sun, Qiangsan

doi:10.1016/j.healthpol.2009.05.011

Cited by 16 publications

(11 citation statements)

References 16 publications

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“…The physiotherapy scope includes restoration of bodily movement that is affected by pain, injury, stress, pathological conditions, and even environmental factors ( 3 ). Physiotherapy services, through promoting the functional capabilities and higher independence in activities of daily living, empower the individual to live an independent and productive life ( 4 ). A diversified spectrum of acute and chronic physical conditions from infancy to old age need physiotherapy services, so that the interest in using physiotherapy services has increased throughout the recent decades, especially in developing countries ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

“…Cost analysis to investigate financing methods, budgeting, and correct financial planning in the future, as well as assessment of hospital services is extremely significant. Although various studies have been conducted on the utilization and costs of physiotherapy services ( 4 , 18 - 20 ), to our knowledge, no particular study dedicated to the issue has been conducted in Iran. Hence, the present study was conducted to investigate the utilization and OOP payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences in Tehran, Iran.…”

Section: Introductionmentioning

confidence: 99%

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Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Zarei

Nikkhah

Pouragha

2018

Med. J. Islam. Republic Iran

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Background: Physiotherapy services constitute a principle part of health care systems, and interest in their use has increased in the recent decades. This study was conducted to investigate the utilization and OOP payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences in Tehran, Iran. Methods: This cross-sectional study was conducted using the data of physiotherapy department of three public hospitals. The study sample included 6528 patients who had received 7257 episodes of care. Data were extracted through hospital information systems and analyzed using multivariate regression analysis by SPSS17. Results: The average episode per patient was 1.11 and 12.6 session per episode. The average cost of each episode and treatment session was 1 784 660 IRR (USD 59) and 142 023 IRR (USD 4.7), respectively. The OOP payment share for physiotherapy was 31%. Age, OOP amount, having insurance coverage, insurance type, and service type significantly affected physiotherapy utilization. Number of treatment sessions, having insurance coverage, type of insurance coverage, and gender were related to OOP payment. Conclusion: There is a large variety in utilization and OOP payment in the insurance funds, which could restrict the accessibility and utilization of services by patients, leading to inequalities in utilization. Therefore, policymakers should conduct an overall review on the tariffs and service packages of insurer organizations to provide better conditions for the elderly, unhealthy, and vulnerable population to mitigate inequality in service utilization and decrease OOP payment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Zarei

Nikkhah

Pouragha

2018

Med. J. Islam. Republic Iran

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“…In populations with disabling conditions, the rates of use of rehabilitation services represent about 47% of all medical expenses and physical therapy is the most widely used 7 . In China, physical therapy is the Western treatment prescribed in 62.5% of cases of patients in rehabilitation 8 . In physical therapy, the elderly are often attended in diverse areas, including rheumatology, neurology, cardiology and respiratory function.…”

Section: Introductionmentioning

confidence: 99%

Profile of the elderly in physical therapy and its relation to functional disability

Rossi¹,

Pereira²,

Driusso³

et al. 2013

Braz. J. Phys. Ther.

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| Background: As the population ages, changes occur in the epidemiological profile towards the current predominance of chronic degenerative diseases which, when untreated, lead to loss of functional capacity and require long-term assistance. Objectives: To describe the profile of the elderly attending the geriatric physical therapy service and to identify factors associated with functional disability. Method: A cross-sectional descriptive analytical study was conducted. The medical records of elderly individuals were analyzed using the first physical therapy assessment, which included sociodemographic, clinical and mobility data. To determine the degree of disability (mild/moderate), the Brazilian Multidimensional Functional Assessment Questionnaire (BOMFAQ) was used. Descriptive analysis and univariate logistic regression were performed, followed by multivariate logistic regression. Results: The sample comprised 130 elderly patients with a mean age of 73.3 [standar deviation (SD)=7.2] years-old, predominantly female (63.9%), sedentary (71.5%) and presenting three to four diseases (47.7%). The mean of activities with difficulty in the BOMFAQ was 6.7 (SD=4.8), 35 (26.9%) individuals presented mild disability and 95 (73.1%) moderate. The participant characteristic that presented a greatest risk of disability was self-reporting of poor health (OR=12.4). The factors identified, which together can determine functional decline, were sedentary lifestyle, presence of dizziness, polypharmacy and high pain intensity. Conclusions: Elderly individuals attended by the geriatric physical therapy service showed a profile associated with disability, characterized by potentially modifiable factors. This profile also reinforces the demand for long-term care for this population.Keywords: physical therapy; health services for the aged; aged; disabled health. HOW TO CITE THIS ARTICLERossi ALS, Pereira VS, Driusso P, Rebelatto JR, Ricci NA. Profile of the elderly in physical therapy and its relation to functional disability. Braz J Phys Ther. 2013 Jan-Feb; 17(1): 77-85. http://dx.doi.org/10.1590/S1413-35552012005000060 RESUMO | Contextualização: Com o envelhecimento populacional, houve alterações no perfil epidemiológico, com o predomínio atual das doenças crônico-degenerativas que, quando não tratadas, levam à perda da capacidade funcional e exigem assistência de longo prazo. Objetivos: Descrever o perfil do idoso atendido no serviço de fisioterapia geriátrica e identificar fatores associados à incapacidade funcional. Método: Foi realizado estudo transversal descritivo analítico. Os prontuários dos idosos foram analisados por meio da primeira avaliação fisioterapêutica, que incluiu dados sociodemográficos, clínicos e de mobilidade. Para determinar o grau de deficiência (leve/ moderada), foi aplicado o Brazilian Multidimensional Functional Assessment Questionnaire (BOMFAQ). A análise descritiva e a regressão logística univariada foram realizadas, seguidas de regressão logística multivariada. Resultados: A amostra foi compost...

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“…Most patients still cover a high proportion of expenses out-of-pocket, even in urban medical centers [6]. Some studies have demonstrated that, for rehabilitation purposes, acupuncture is quite affordable compared with Western medicine practices, such as physical therapy [7]. However, patients without financial means or government-based insurance have limited access to the hybrid of CM and Western medicine services favored by more affluent families [7].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have demonstrated that, for rehabilitation purposes, acupuncture is quite affordable compared with Western medicine practices, such as physical therapy [7]. However, patients without financial means or government-based insurance have limited access to the hybrid of CM and Western medicine services favored by more affluent families [7]. While patient satisfaction has not been widely studied in China, some authors have reported high levels of satisfaction when patients have the choice to access both CM and Western medicine services [8].…”

Section: Introductionmentioning

confidence: 99%

East meets West: current issues relevant to integrating Chinese medicine

Gaster

Lee

2012

Chinese Medicine

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This article describes the challenges that integration of Chinese medicine (CM) and biomedicine are likely to bring for improving safety, research, education, and cross-disciplinary communication. Potential strategies to meet these challenges are suggested, including the use of accessible language for the Western biomedical community, and further development of whole-system randomized controlled trials that support individualized treatment approaches.

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Utilization, cost, payment, and patient satisfaction of rehabilitative services in Shandong, China

Cited by 16 publications

References 16 publications

Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Utilization and out of pocket (OOP) payment for physiotherapy services in public hospitals of Shahid Beheshti University of Medical Sciences

Profile of the elderly in physical therapy and its relation to functional disability

East meets West: current issues relevant to integrating Chinese medicine

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